Croyle-Serbin Therapeutic Associates, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW001067-E Issued in PA

Legal business name

CROYLE-SERBIN THERAPEUTIC ASSOCIATES, PC

Practice address

290 Grant St
Indiana, PA 15701-3764

Phone

(814) 341-4389

Fax

(724) 801-8153

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Carole Serbin, LCSWNPI 1164417663

Title

President

Phone

(814) 341-4389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Croyle-Serbin Therapeutic Associates PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Croyle-Serbin Therapeutic Associates, P.C.

  • Clinical Psychologist
  • Johnstown, PA
  • NPI 1649435843
  NPD tax ID
• Croyle-Serbin Therapeutic Associates, PC

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1851618532
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carole Clowser Serbin, LCSW

  • Social Worker
  • Indiana, PA
  • NPI 1164417663
  Medicare reassignment NPD Authorized official
• Mary Alice Onstead, LCSW

  • Clinical Social Worker
  • Somerset, PA
  • NPI 1447245949
  NPD (past)
• Marlene Ann Suto-Walters, LCSW

  • Clinical Social Worker
  • Somerset, PA
  • NPI 1225026610
  NPD (past)
• Jennifer Dawn White, PH.D.

  • Psychologist
  • Garrett, PA
  • NPI 1013931583
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1700046174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 GRANT ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013764",
            "telephone_number": "814-341-4389",
            "fax_number": "724-801-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 GRANT ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013764",
            "telephone_number": "814-341-4389",
            "fax_number": "724-801-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROYLE-SERBIN THERAPEUTIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "SERBIN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-341-4389",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW001067-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Paul Cramer, D.O.
• David Leo Crawford, DMD
• Mikayla Marie Cree, OD
• Martha L Crenshaw, LDN
• Heidi Cressley
• John Crupie
• Jennifer Ann Cunningham, SLP
• Joshua Cuppett, PHARMD
• Brian M Curry, PHARMACIST
• Nicole Victoria Dann-Payne, MS, RD, LDN

• Clinical Social Worker in Indiana, PA
• Providers in Indiana, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.