Serena Eldredge
Individual provider Active NPI Social Worker · Westbrook, CT
NPI 1114735446 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1114735446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 10463 (CT)
- Practice address
- 4 Grove Beach Rd N Ste 4
Westbrook, CT 06498-1656 - Phone
- (860) 437-4550
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 10463 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10463 | CT | Yes |
Addresses
Primary practice location
4 Grove Beach Rd N Ste 4
Westbrook, CT 06498-1656
Mailing address
PO Box 120
New London, CT 06320-0120
Phone (860) 437-4550
Other providers in Westbrook, CT
- Gabriella Delorenze
- Alicia Demartin
- Dignity Home Health LLC
- Patrick Duverger
- Robin Ehle-Meyer
- Tara T.S. Fagan
- Melissa Febbroriello
- Fernwood Holistic Health
- Kristin Kettering Foschi
- Yizza Galdamez
All providers in Westbrook, CT · Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. 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.