SERENA EAGAN LMSW
NPI 1982841052
Social Worker in Southgate, MI

Q: What is Serena Eagan's NPI number?

The NPI number for Serena Eagan is 1982841052. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Q: What is Serena Eagan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Serena Eagan was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 12, 2009PECOS EnrolledAccepts Medicare Assignment

19401 NORTHLINE RD, SOUTHGATE, MI 48195(734) 785-7718 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2022, Jun 14, 2019 (2 updates tracked since 2019).

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About Serena Eagan Lmsw NPPES

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

SERENA EAGAN LMSW (NPI 1982841052) is an individual social worker in Southgate, Michigan, licensed in Michigan (6801091041) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1982841052

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSERENA EAGANCredential: LMSW

Location Address19401 NORTHLINE RDSouthgate, MI 48195-2277

Mailing Address14057 BradyRedford, MI 48239-2820

Phone(734) 785-7718

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJanuary 12, 2009

Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration

NPPES CertifiedAugust 4, 2022

✔ NPI 1982841052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801091041

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

19401 NORTHLINE RD, Southgate, MI 48195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Serena Eagan Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406103852

PECOS Enrollment IDI20180717002603

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

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

BRITTANY GRIHORASH

Technician (Personal Care Attendant)