Carrie Serjeant Perez, MSW, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007147 Issued in NC

Practice address

141 Parker St Ste 306
Maynard, MA 01754-2180

Phone

(866) 991-2103

NPI assigned

Mar 24, 2011

Last updated

May 10, 2023By the provider in NPPES

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

Other names 1

• Carrie Diane Serjeant Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1790084192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL CAMPUS DRIVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27531",
            "telephone_number": "919-722-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PARKER ST STE 306",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017542180",
            "telephone_number": "866-991-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CARRIE",
        "middle_name": "SERJEANT",
        "credential": "MSW, LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "SERJEANT",
            "middle_name": "DIANE",
            "credential": "MSW, LCSW, BCD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Renee Okun, PT, DPT
• Michelle Olsen-Petty, RN, MASTER IN ACUPUN
• Kelsey Parker Von Jess
• Rosemary Parker, LPC
• Toral Patel, OD
• Madeleine Pitas
• Kathryn Portnow, ED.D.
• Kerry Potts, LMHC
• Ele Ramirez
• Jennifer Ramirez, CNP

• Clinical Social Worker in Maynard, MA
• Providers in Maynard, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.