Provider Demographics
NPI:1306008693
Name:SERRANO, GLADYS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:GLADYS
Middle Name:
Last Name:SERRANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SPRING DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2651
Mailing Address - Country:US
Mailing Address - Phone:407-433-2977
Mailing Address - Fax:631-650-5400
Practice Address - Street 1:175 FULTON AVE
Practice Address - Street 2:STE 304
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3702
Practice Address - Country:US
Practice Address - Phone:407-433-2977
Practice Address - Fax:631-650-5400
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical