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NPI Code Detail

MEDICARE: MRS. ALEXANDRA ROSE SERAFINI- TAPIA LCSW

MEDICARE:  MRS. ALEXANDRA ROSE SERAFINI- TAPIA  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor84376CA
2390200000XStudent in an Organized Health Care Education/Training Program
3104100000XSocial Worker84376CA
4171M00000XCase Manager/Care Coordinator
51041C0700XClinical Social Worker102701CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1102701OTHERCABOARD OF BEHAVIORAL SCIENCES
284376OTHERCABOARD OF BEHAVIORAL SCIENCES

General Provider Information

NPI Number : 1285187849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALEXANDRA ROSE SERAFINI- TAPIA LCSW
Provider Business Mailing Address
First Line : 27261 LAS RAMBLAS STE 220
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-6468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11780 CENTRAL AVE STE 205
Second Line :
City : CHINO
State : CA
Zip : 91710-6499
Country : US
Telephone Number : 877-527-7227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2016
Last Update Date : 04/10/2023

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