Active NPI
Serenity Dawn Drum, LCSW
- Clinical Social Worker
- Blanco, TX
National Provider Identifier
1962083469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 53835
- Practice address
- 820 6TH St
Blanco, TX 78606-4914 - Phone
- (830) 554-0098
- NPI assigned
- Apr 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 53835 | TX | Primary |
Addresses
Primary practice location
820 6TH St
Blanco, TX 78606-4914
Mailing address
820 6TH St
Blanco, TX 78606-4914
Phone (830) 554-0098
Other names 1
- Serenity Dawn Ledvina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
539 W Commerce St
Dallas, TX 75208-1953
Phone (469) 678-8787
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53835 | TX | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Continuity Mental Health, PLLC | Clinical | Current | Accepting new patients |
Locations
539 W Commerce St
Dallas, TX 75208
Phone (385) 377-9352
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1962083469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 6TH ST",
"city": "BLANCO",
"state": "TX",
"postal_code": "786064914",
"telephone_number": "830-554-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 6TH ST",
"city": "BLANCO",
"state": "TX",
"postal_code": "786064914",
"telephone_number": "830-554-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUM",
"first_name": "SERENITY",
"middle_name": "DAWN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "53835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SERENITY",
"last_name": "LEDVINA",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Blanco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.