Active NPI
Marcia Andrade Serpa, LICSW
- Clinical Social Worker
- Brockton, MA
National Provider Identifier
1962562728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1032140
- Practice address
- 60 Crescent St
Brockton, MA 02301-4314 - Phone
- (508) 580-7950
- Fax
- (508) 580-7956
- NPI assigned
- Dec 11, 2006
- 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 | 1032140 | MA | Primary |
Addresses
Primary practice location
60 Crescent St
Brockton, MA 02301-4314
Mailing address
60 Crescent St
Brockton, MA 02301-4314
Phone (508) 580-7950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032140 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1962562728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CRESCENT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014314",
"telephone_number": "508-580-7950",
"fax_number": "508-580-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 CRESCENT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014314",
"telephone_number": "508-580-7950",
"fax_number": "508-580-7956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE SERPA",
"first_name": "MARCIA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1032140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.