Provider Demographics
NPI:1770729444
Name:SERRANO, HAYDEE (LMSW)
Entity type:Individual
Prefix:MS
First Name:HAYDEE
Middle Name:
Last Name:SERRANO
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 1:138-15 FRANKLIN AVE
Mailing Address - Street 2:(401)
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-207-5523
Mailing Address - Fax:718-358-4553
Practice Address - Street 1:138-15 FRANKLIN AVE
Practice Address - Street 2:(401)
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-207-5523
Practice Address - Fax:718-358-4553
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031233-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker