Provider Demographics
NPI:1447650346
Name:HUGHES, SERENA
Entity type:Individual
Prefix:
First Name:SERENA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SERENA
Other - Middle Name:
Other - Last Name:PERRINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7921 SEGOVIA ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8038
Mailing Address - Country:US
Mailing Address - Phone:407-267-2979
Mailing Address - Fax:
Practice Address - Street 1:7921 SEGOVIA ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8038
Practice Address - Country:US
Practice Address - Phone:407-267-2979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2022-05-10
Deactivation Date:2022-03-30
Deactivation Code:
Reactivation Date:2022-05-10
Provider Licenses
StateLicense IDTaxonomies
104100000X
FL194131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker