Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Yamilet Serrano

Individual provider Mental Health Counselor · NPI 1770074254

Stacy Yamilet Serrano is a Clinical Social Worker in Los Angeles, California. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1430 W 52nd St
Los Angeles, CA 90062-2836
Phone: (323) 649-0920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2121 W Temple St, Los Angeles, CA 90026-4915 — (213) 385-5100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117801 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 83910 (CA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1770074254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESJune 27, 2025
Certification dateJune 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Los Angeles