Patricia Serna, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0175 Issued in NM

Practice address

16542 Hwy 84
Chama, NM 87520-0617

Phone

(575) 756-2327

Fax

(575) 756-1897

NPI assigned

Sep 10, 2010

Last updated

Sep 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Central Community Based Services, Inc.

  • Community/Behavioral Health Agency
  • Chama, NM
  • NPI 1578794871
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1073820122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "875200617",
            "telephone_number": "575-756-2327",
            "fax_number": "575-756-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 HWY 84",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "875200617",
            "telephone_number": "575-756-2327",
            "fax_number": "575-756-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNA",
        "first_name": "PATRICIA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Central Community Based Services, Inc.
• Northwest Regional Education Cooperative #2
• Patience Grasshopper Therapeutics
• Melissa Dawn Rivera
• Riverbear Counseling LLC
• Kathleen Lesh Smith, L.M.T., C.N.M.T.
• Tara Terrazas, DPT
• Therapeutic Solutions of New Mexico
• Rolando M Tong, MD
• Jeffrey Versaw, L.I.S.W.

• Clinical Social Worker in Chama, NM
• Providers in Chama, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.