Tajae Lashawn Sergeon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13990 Issued in CT

Practice address

531 Main St
East Hartford, CT 06108-3305

Phone

(860) 282-8882

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mellahealth LLC

  • Community/Behavioral Health Agency
  • West Hartford, CT
  • NPI 1477158046

  Clinical

  Medicare reassignment NPD
• Community Matters Outpatient Psychiatric Clinic for Children, Inc.

  • Community/Behavioral Health Agency
  • East Hartford, CT
  • NPI 1295336329
  NPD
• Ruby Psychiatric Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hartford, CT
  • NPI 1295564425
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1518647452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 WOODBURY CIR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575625",
            "telephone_number": "203-980-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083305",
            "telephone_number": "860-282-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064572732",
            "country_code": "US",
            "telephone_number": "860-347-6971",
            "fax_number": "860-343-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERGEON",
        "first_name": "TAJAE",
        "middle_name": "LASHAWN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanassa J Sebastian, APRN, CRNA
• Second Chance Home Care, LLC
• Tina Seekins, RDH
• Erin Marie Senel, LMFT
• Senior Care Centers of Connecticut, Inc.
• Sukhwant Singh Sethi, MD
• Pankti Hitendra Shah
• Saavni Shah
• Humairah Shahid
• Salena Shaikh

• Clinical Social Worker in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.