Healthcare Provider Details

I. General information

NPI: 1821933672
Provider Name (Legal Business Name): LIVING IN LOVE PSYCHOTHERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 MAPLE DR SW APT 1008
WASHINGTON DC
20024-4672
US

IV. Provider business mailing address

350 MAPLE DR SW APT 1008
WASHINGTON DC
20024-4672
US

V. Phone/Fax

Practice location:
  • Phone: 631-357-1948
  • Fax:
Mailing address:
  • Phone: 631-357-1948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANGELYCE A SERRANO
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 631-357-1948