MRS. SERENA MARIE SMITH (NPI# 1023563483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023563483 |
| Entity Type | Individual |
| Full Name | MRS. SERENA MARIE SMITH |
| Other Name | MS. SERENA MARIE HAWORTH |
| Credential | AMFT, MA |
| Practice Address |
2523 El Portal Dr San Pablo CA 94806-3305 |
| Mailing Address |
Po Box 5643 Walnut Creek CA 94596-1643 |
| Practice Telephone | 5102153742 |
| Practice Fax Number | 5102153741 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3468 Mt Diablo Blvd, Lafayette, CA 945493957 | 9252842298 | |
| 555 Northgate Dr Ste 100, Buckle Programs, San Rafael, CA 949033696 | 4154915702 | |
| 2335 Country Hills Dr, Antioch, CA 945097319 | 9256088700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679017412 | Serena Smith | Specialist | 22 Stevens Ave, Yonkers, NY 10704-3110 | 2016-12-13 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1407476237 | Serena Smith | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-04-22 |
| 1124251376 | Serena R Smith | Counselor | 720 University Ave, Las Vegas, NM 87701-4250 | 2009-09-03 |
| 1578654562 | Serena Smith | Family Medicine | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2006-09-27 |
| Street Address |
2523 EL PORTAL DR |
| City | SAN PABLO |
| State | CA |
| Zip Code | 94806-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295805083 | Contra Costa County | Clinic/Center | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2006-11-08 |
| 1992356844 | Karamjeet Kaur | Registered Nurse | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2019-09-23 |
| 1609353119 | Mabel Osamor | Registered Nurse | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2018-07-26 |
| 1336642560 | Anntheia Yvonne Farr | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2018-03-14 |
| 1710403662 | Kathy T Insixiengmay | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2017-08-22 |
| 1386181402 | Tramaine Alan Jackson | Counselor | 2523 El Portal Dr, Suite 201, San Pablo, CA 94806-3305 | 2017-01-26 |
| 1467997486 | Gloria Esperanza Menjivar | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2016-12-29 |
| 1538601349 | Elizabeth Gonzalez | Social Worker | 2523 El Portal Dr, San Pablo, CA 94806 | 2016-11-10 |
| 1376994251 | Renee Yvonne Owens | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2016-06-22 |
| 1497101000 | Steven Ellison | Social Worker | 2523 El Portal Dr, Suite 201, San Pablo, CA 94806-3305 | 2016-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868333 | Kathleen Marie Lovett | Marriage & Family Therapist | 10 Las Moradas Cir, San Pablo, CA 94806-3838 | 2019-02-21 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1164806113 | Jessa Metcalfe Goldstein | Marriage & Family Therapist | 1870 19th St, San Pablo, CA 94806 | 2015-07-18 |
| 1093976912 | Arian Alexandra Sarris | Marriage & Family Therapist | 25 Las Moradas Cir, San Pablo, CA 94806-3839 | 2008-06-23 |
| 1962693713 | Salvador Lopez Palomares | Marriage & Family Therapist | 13201 San Pablo Ave Ste 305, San Pablo, CA 94806-3958 | 2007-08-07 |
| 1104953538 | Heftsi Assaf | Marriage & Family Therapist | 13201 San Pablo Ave Ste 316, San Pablo, CA 94806-3965 | 2007-02-27 |
| 1578618575 | Frances Mcculloch Doughty | Marriage & Family Therapist | 13201 San Pablo Ave Ste 310, San Pablo, CA 94806-3965 | 2007-01-23 |
| 1861565277 | Allison M. Bowne | Marriage & Family Therapist | 2465 Dolan Way, San Pablo, CA 94806-1668 | 2006-11-15 |
| 1831675792 | Kristina Kimberly Sterling | Marriage & Family Therapist | 2465 Dolan Way, San Pablo, CA 94806-1668 | 2018-07-13 |
| 1851883748 | Natalie Burger | Marriage & Family Therapist | 2465 Dolan Way, San Pablo, CA 94806 | 2018-06-05 |
| Find all providers in SAN PABLO | ||||
Please comment or provide details below to improve the information on MRS. SERENA MARIE SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.