Active NPIIndividual providerSole proprietor

Mrs. Lisa M Sergentanis, LICSW

Social Worker, Clinical in East Longmeadow, Massachusetts

NPI Number1710107941
Practice location
143 Shaker Road, East Longmeadow, MA 01028-0216
Fax
—
Last updated
July 8, 2007

Lisa Marie Sergentanis is a Social Worker, Clinical based in East Longmeadow, MA. Lisa Marie Sergentanis practices in East Longmeadow, MA and has the professional credentials of LICSW. The NPI Number for Lisa Marie Sergentanis is 1710107941 and holds a License No. 113028 (MA). The current practice location address for Lisa Marie Sergentanis is 143 Shaker Road, East Longmeadow, MA 01028-0216 and can be reached out via phone at 413-525-1711.

Provider Profile Details

NPI Number
1710107941
Provider Name
Lisa Marie Sergentanis
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
143 Shaker Road, East Longmeadow, MA 01028-0216
Phone Number
413-525-1711
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 30, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
143 Shaker Road
East Longmeadow, MA 01028-0216
Zip
01028-0216
Phone Number
413-525-1711
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
143 Shaker RD
East Longmeadow, MA 01028-2786
City
East Longmeadow
State
MA
Zip
01028-2786
Phone Number
413-525-1711

License Information

License Number
113028
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Mrs. Lisa M Sergentanis, LICSW?

The NPI number of Mrs. Lisa M Sergentanis, LICSW is 1710107941. It was assigned on April 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisa M Sergentanis, LICSW?

Mrs. Lisa M Sergentanis, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113028.

Where does Mrs. Lisa M Sergentanis, LICSW practice?

The practice location is 143 Shaker Road, East Longmeadow, MA 01028-0216. The office can be reached at 413-525-1711 (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 1710107941 directly on the NPPES registry website.

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