Patricia Serna, LISW
Individual provider Active NPI Clinical Social Worker · Chama, NM
NPI 1073820122 · NPPES record last updated Sep 10, 2010
Key facts
- NPI
- 1073820122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I-0175 (NM)
- Practice address
- 16542 Hwy 84
Chama, NM 87520-0617 - Phone
- (575) 756-2327
- Fax
- (575) 756-1897
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-0175 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Central Community Based Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-0175 | NM | Yes |
Addresses
Primary practice location
16542 Hwy 84
Chama, NM 87520-0617
Mailing address
PO Box 617
Chama, NM 87520-0617
Phone (575) 756-2327
Other providers in Chama, NM
- North Central Community Based Services, Inc.
- Northwest Regional Education Cooperative #2
- Patience Grasshopper Therapeutics
- Melissa Dawn Rivera
- Riverbear Counseling LLC
- Kathleen Lesh Smith
- Tara Terrazas
- Therapeutic Solutions of New Mexico
- Rolando M Tong
- Jeffrey Versaw
All providers in Chama, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.