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General NPI Number Information
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NPI Number | 1154519924
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Entity Type | Individual
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Provider Name | DENISE JOVITA SERRATO LCSW, CASAC-T
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Gender | Female
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 667 S VANCOUVER AVE
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City | LOS ANGELES
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State | CA
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Zip | 90022-3217
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Country | US
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Telephone | 626-825-3492
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Fax |
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Provider Business Mailing Address
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Address Line | 4580 BROADWAY APT 3L
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City | NEW YORK
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State | NY
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Zip | 10040-2119
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0879121
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 085167
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License Number State | NY
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