MRS. LISA MARIE SERGENTANIS LICSW
NPI 1710107941
Social Worker - Clinical in East Longmeadow, MA

Active since April 30, 2007Opted out of Medicare · through Nov 12, 2027
143 SHAKER ROAD, EAST LONGMEADOW, MA 01028(413) 525-1711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lisa Marie Sergentanis Licsw NPPES

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

MRS. LISA MARIE SERGENTANIS LICSW (NPI 1710107941) is an individual clinical provider in East Longmeadow, Massachusetts, licensed in Massachusetts (113028) and active in the NPI registry since April 2007. She has opted out of Medicare through November 12, 2027.

NPPES Registry Identity

NPI1710107941
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LISA MARIE SERGENTANISCredential: LICSW
Location Address143 SHAKER ROADEast Longmeadow, MA 01028-0216
Mailing Address143 Shaker RdEast Longmeadow, MA 01028-2786 · (413) 525-1711
Sole ProprietorYes
Enumeration DateApril 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1710107941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 113028
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
143 SHAKER ROAD, East Longmeadow, MA 01028

Other Identifiers 1

Other113028MA · Licsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Lisa Marie Sergentanis Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 12, 2021 through November 12, 2027.

Opt-Out Effective DateNovember 12, 2021
Opt-Out In Effect ThroughNovember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
143 SHAKER ROAD
EAST LONGMEADOW, MA 01028

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 Lisa Sergentanis's NPI number?

The NPI number for Lisa Sergentanis is 1710107941. It was assigned to this individual provider in the NPPES registry on April 30, 2007.

Where is Lisa Sergentanis located?

Lisa Sergentanis practices at 143 Shaker Road, East Longmeadow, MA 01028. The listed phone number is (413) 525-1711.

What is Lisa Sergentanis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Sergentanis enrolled in Medicare?

No. Lisa Sergentanis has opted out of Medicare through November 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lisa Sergentanis accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Lisa Sergentanis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Sergentanis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.