Provider Demographics
NPI:1437543824
Name:WOROGLIAN, SERENA (MA)
Entity Type:Individual
Prefix:MS
First Name:SERENA
Middle Name:
Last Name:WOROGLIAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 GRAND ST
Mailing Address - Street 2:APT 3408
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1992
Mailing Address - Country:US
Mailing Address - Phone:917-724-1881
Mailing Address - Fax:914-698-5571
Practice Address - Street 1:933 MAMARONECK AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-1662
Practice Address - Country:US
Practice Address - Phone:917-724-1881
Practice Address - Fax:914-698-5571
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006353-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health