Provider Demographics
NPI:1699905059
Name:SERNA, EMILY G (MSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:G
Last Name:SERNA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:G
Other - Last Name:SERNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:100 OCEANGATE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4312
Mailing Address - Country:US
Mailing Address - Phone:562-435-3106
Mailing Address - Fax:562-256-1603
Practice Address - Street 1:100 OCEANGATE
Practice Address - Street 2:SUITE 550
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4312
Practice Address - Country:US
Practice Address - Phone:562-435-3106
Practice Address - Fax:562-256-1603
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW648051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical