Croyle-Serbin Therapeutic Associates, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CROYLE-SERBIN THERAPEUTIC ASSOCIATES, PC

Practice address

1450 Scalp Ave
Stuite 209
Johnstown, PA 15904-3374

Phone

(814) 266-3196

NPI assigned

Apr 21, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Carole Serbin, LCWSNPI 1164417663

Title

President

Phone

(814) 266-3196

Specialties & licenses 1

Addresses

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
  • Indiana, PA
  • NPI 1700046174
  NPD tax ID

Locations

Practitioners 1

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
  NPD (past) Authorized official

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1851618532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SCALP AVE",
            "address_2": "STUITE 209",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SCALP AVE",
            "address_2": "STUITE 209",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043374",
            "telephone_number": "814-266-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROYLE-SERBIN THERAPEUTIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "SERBIN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-266-3196",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCWS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Croyle-Nielsen Clinical Services PC
• Croyle-Nielsen Health Services, LLC
• Croyle-Nielsen Support Services, LLC
• Croyle-Nielsen Therapeutic Associates, Inc.
• Croyle-Serbin Therapeutic Associates, P.C.
• Brad Croyle, M.A.
• Claudine Marie Croyle, AU.D.
• Grant Waldo Croyle, PHD
• Steven Michael Cruse
• Amanda Leanne Cruz

• Clinical Social Worker in Johnstown, PA
• Providers in Johnstown, 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 21, 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.