Active NPI
Serena A Feller, LCSW
- Clinical Social Worker
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007991A
- Practice address
- 977 S Kenmore Dr
Evansville, IN 47714-7514 - Phone
- (812) 480-8307
- NPI assigned
- Sep 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33007239A | IN | |
| Clinical Social Worker | 1041C0700X | 34007991A | IN | Primary |
Addresses
Primary practice location
977 S Kenmore Dr
Evansville, IN 47714-7514
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
Other practice location 1
1110 Professional Blvd Ste A
Evansville, IN 47714-8000
Phone (812) 848-2322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200238820 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
977 S Kenmore Dr
Evansville, IN 47714-7514
Phone (812) 916-0434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33007239A | IN | MD | Social Worker |
| 34007991A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtual Consult MD LLC | Current | Accepting new patients | |
| Find Your Rhythm Counseling, LLC | Current | Accepting new patients | |
| Luzio & Associates Behavioral Services, Inc. | Social Worker | Past | Accepting new patients |
Locations
1110 Professional Blvd
#A
Evansville, IN 47714
Phone (845) 397-7787
977 S Kenmore Dr
Evansville, IN 47714
Phone (812) 480-8307
5444 E Indiana St
Evansville, IN 47715
Phone (812) 435-9099
109 US Highway 66 E
Ste 151
Tell City, IN 47586
Phone (812) 727-4778
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Evansville, IN
- NPI 1295484277
-
- Psychiatry Physician
- Evansville, IN
- NPI 1871966523
-
- Clinical Social Worker
- Evansville, IN
- NPI 1255436754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1952702979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3276",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477313276",
"telephone_number": "812-473-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 S KENMORE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477147514",
"telephone_number": "812-480-8307"
}
],
"practiceLocations": [
{
"address_1": "1110 Professional Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477148000",
"country_code": "US",
"telephone_number": "812-848-2322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELLER",
"first_name": "SERENA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33007239A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007991A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200238820",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.