Provider Demographics
NPI:1124114459
Name:PAREDES, SERENA S (LMSW)
Entity type:Individual
Prefix:MS
First Name:SERENA
Middle Name:S
Last Name:PAREDES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2175 CEDAR AVE
Mailing Address - Street 2:APT 5B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-5504
Mailing Address - Country:US
Mailing Address - Phone:347-628-2001
Mailing Address - Fax:718-519-1429
Practice Address - Street 1:329 E 62ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-7705
Practice Address - Country:US
Practice Address - Phone:212-838-4333
Practice Address - Fax:212-838-7158
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067137104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker