| Serendipity Therapy, Pllc | |
|
1165 Mckee Farm Lane Belmont NC 28012-8671 | |
| (704) 928-8266 | |
| Not Available |
| Full Name | Serendipity Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1165 Mckee Farm Lane, Belmont, North Carolina |
| Authorized Official Name and Position | Katherine Farrell (THERAPIST/OWNER) |
| Authorized Official Contact | 7049288266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serendipity Therapy, Pllc Po Box 581 Cornelius NC 28031-0581 Ph: (704) 928-8266 | Serendipity Therapy, Pllc 1165 Mckee Farm Lane Belmont NC 28012-8671 Ph: (704) 928-8266 |
| NPI Number | 1538493770 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 09/15/2016 |
| Medicare PECOS PAC ID | 8022133164 |
|---|---|
| Medicare Enrollment ID | O20100914000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538493770 | NPI | - | NPPES |
| 2347985 | Other | NC | MEDICARE PTAN |
| 6008220 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C006381 (North Carolina) | Primary |
| Provider Name | Kara Kindley Lemon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265449656 PECOS PAC ID: 0042278848 Enrollment ID: I20041227000684 |
| Provider Name | Lin Hanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841388576 PECOS PAC ID: 9537175393 Enrollment ID: I20060302000560 |
| Provider Name | Kristy L Seagren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699884635 PECOS PAC ID: 7618972944 Enrollment ID: I20090915000804 |
| Provider Name | Donald P Rush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063662906 PECOS PAC ID: 6002959855 Enrollment ID: I20100202000950 |
| Provider Name | Katherine A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609048065 PECOS PAC ID: 9234254384 Enrollment ID: I20100914001065 |
| Provider Name | Alissa A Reitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811220403 PECOS PAC ID: 6608991757 Enrollment ID: I20100914001110 |
| Provider Name | Shelly M Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447643325 PECOS PAC ID: 5193031714 Enrollment ID: I20150827001718 |
| Provider Name | Amy Jamerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902265341 PECOS PAC ID: 5092013698 Enrollment ID: I20160415000054 |
| Provider Name | Christina R Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972859353 PECOS PAC ID: 1355595257 Enrollment ID: I20170913003264 |
| Provider Name | Tommie Tomika Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184879348 PECOS PAC ID: 7719242288 Enrollment ID: I20180604002172 |
| Provider Name | Carolyn Franzese Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336109511 PECOS PAC ID: 0143565291 Enrollment ID: I20181219000017 |
| Provider Name | Anne Bass Kinlaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528289303 PECOS PAC ID: 4789674565 Enrollment ID: I20200114000287 |
| Provider Name | Hannah Leigh Fraser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043780992 PECOS PAC ID: 3476981606 Enrollment ID: I20200320002525 |
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