Healthcare Provider Details

I. General information

NPI: 1912828724
Provider Name (Legal Business Name): VALERIA SERRANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 BLUE HILL AVE
DORCHESTER MA
02121-3213
US

IV. Provider business mailing address

95 UNIVERSITY AVE UNIT 2333
WESTWOOD MA
02090-2384
US

V. Phone/Fax

Practice location:
  • Phone: 617-825-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: