MARY MARTINE SERAWOP - NPI 1861381402 - Peer Specialist in Salt Lake City, UT

Q: What is Mary Serawop's NPI number?

The NPI number for Mary Serawop is 1861381402. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Q: What is Mary Serawop's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Serawop was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mary Martine Serawop NPPES

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

MARY MARTINE SERAWOP (NPI 1861381402) is an individual peer specialist in Salt Lake City, Utah, licensed in Utah (1861381402) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1861381402

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMARY MARTINE SERAWOP

Location Address117 W 400 SSalt Lake City, UT 84101-1916

Mailing Address117 W 400 SSalt Lake City, UT 84101-1916 · (801) 428-4257

Phone(801) 428-4257

Sole ProprietorYes

Enumeration DateJune 30, 2025

Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1861381402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in UT · 1861381402

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

117 W 400 S, Salt Lake City, UT 84101

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