Provider Demographics
NPI:1073739462
Name:SERAFIN, JOSEPH JUDE JR (LMSW)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JUDE
Last Name:SERAFIN
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N MAUMEE
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-1538
Mailing Address - Country:US
Mailing Address - Phone:517-423-5348
Mailing Address - Fax:
Practice Address - Street 1:136 W CHICAGO BLVD
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-1528
Practice Address - Country:US
Practice Address - Phone:517-423-5348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010179831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical