Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SERENA MICKELSON M.S., CCC-SLP
NPI 1629420104
Speech-Language Pathologist in Tacoma, WA

Active since July 07, 2016
613 S OAKES ST APT 3, TACOMA, WA 98405(512) 312-8938 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Serena Mickelson M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENA MICKELSON M.S., CCC-SLP (NPI 1629420104) is an individual speech-language pathologist provider in Tacoma, Washington, licensed in Washington (110754) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1629420104
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSERENA MICKELSONCredential: M.S., CCC-SLP
Location Address613 S OAKES ST APT 3Tacoma, WA 98405-2792
Mailing Address613 S Oakes St Apt 3Tacoma, WA 98405-2792 · (512) 312-8938
Sole ProprietorYes
Enumeration DateJuly 7, 2016
Last NPPES UpdateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1629420104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WA · 110754
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
613 S OAKES ST APT 3, Tacoma, WA 98405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serena Mickelson's NPI number?

The NPI number for Serena Mickelson is 1629420104. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Serena Mickelson located?

Serena Mickelson practices at 613 S Oakes St Apt 3, Tacoma, WA 98405. The listed phone number is (512) 312-8938.

What is Serena Mickelson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Serena Mickelson was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.