Active NPIIndividual providerSole proprietor

Ms. Tina A Serpa, LADC-I

Counselor, Addiction (Substance Use Disorder) in Dartmouth, Massachusetts

NPI Number1124151022
Practice location
25W Old Westport RD, Dartmouth, MA 02747-2513
Fax
—
Last updated
April 9, 2021

Tina A Serpa is a Counselor, Addiction (Substance Use Disorder) based in Dartmouth, MA. Tina A Serpa practices in Dartmouth, MA and has the professional credentials of LADC-I. The NPI Number for Tina A Serpa is 1124151022 and holds a License No. 4024247 (MA). The current practice location address for Tina A Serpa is 25W Old Westport RD, Dartmouth, MA 02747-2513 and can be reached out via phone at 774-930-7369.

Provider Profile Details

NPI Number
1124151022
Provider Name
Tina A Serpa
Credential
LADC-I
Provider Entity Type
Individual
Gender
Female
Address
25W Old Westport RD, Dartmouth, MA 02747-2513
Phone Number
774-930-7369
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
March 13, 2007
Last Update Date
April 9, 2021
Certification Date
April 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
25W Old Westport RD
Dartmouth, MA 02747-2513
Zip
02747-2513
Phone Number
774-930-7369
Dartmouth, MA 02747Get directions →

Provider Business Mailing Address Details

Address
8 Century Dr
Fairhaven, MA 02719-4217
City
Fairhaven
State
MA
Zip
02719-4217
Phone Number
774-930-7369

License Information

License Number (1)
4024247
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
19541
License State (2)
MA
Taxonomy (2)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Tina A Serpa, LADC-I?

The NPI number of Ms. Tina A Serpa, LADC-I is 1124151022. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Tina A Serpa, LADC-I?

Ms. Tina A Serpa, LADC-I is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 4024247.

Where does Ms. Tina A Serpa, LADC-I practice?

The practice location is 25W Old Westport RD, Dartmouth, MA 02747-2513. The office can be reached at 774-930-7369 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124151022 directly on the NPPES registry website.

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