Provider Demographics
NPI:1235949298
Name:CANCIELLO, SERENA ELIZABETH (MS)
Entity type:Individual
Prefix:
First Name:SERENA
Middle Name:ELIZABETH
Last Name:CANCIELLO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5180 CAMPBELLS RUN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9731
Mailing Address - Country:US
Mailing Address - Phone:412-788-8219
Mailing Address - Fax:
Practice Address - Street 1:9005 HARMONY DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-4318
Practice Address - Country:US
Practice Address - Phone:724-719-5022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional