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STACY YAMILET SERRANO
NPI 1770074254
Social Worker - Clinical in Los Angeles, CA

Active since May 21, 2018PECOS Enrolled
1430 W 52ND ST, LOS ANGELES, CA 90062(323) 649-0920 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Jun 20, 2025, Jun 1, 2020 and 1 more (4 updates tracked since 2018).

About Stacy Yamilet Serrano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY YAMILET SERRANO (NPI 1770074254) is an individual clinical provider in Los Angeles, California, licensed in California (117801) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770074254
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY YAMILET SERRANO
Location Address1430 W 52ND STLos Angeles, CA 90062-2836
Mailing Address1430 W 52nd StLos Angeles, CA 90062-2836 · (323) 649-0920
Phone(323) 649-0920
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 21, 2018
Last NPPES UpdateJune 27, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1770074254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 117801
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 83910 (CA)
1430 W 52ND ST, Los Angeles, CA 90062
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Secondary Practice Location 1

Location 12121 W Temple StLos Angeles, CA 90026-4915 · Phone (213) 385-5100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Yamilet Serrano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153839030
PECOS Enrollment IDI20250801003116
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Serrano's NPI number?

The NPI number for Stacy Serrano is 1770074254. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Stacy Serrano located?

Stacy Serrano practices at 1430 W 52nd St, Los Angeles, CA 90062. The listed phone number is (323) 649-0920.

What is Stacy Serrano's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Stacy Serrano enrolled in Medicare?

Yes. Stacy Serrano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Serrano was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.