Serenity Treatment LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-26273 Issued in ID

Legal business name

SERENITY TREATMENT LLC

Practice address

1229 Main St Ste 101
Lewiston, ID 83501-6901

Phone

(208) 743-5906

Fax

(833) 264-6643

NPI assigned

Jun 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle R Fitting, LMSW

Title

Supervisor

Phone

(208) 743-5906

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine B Dufford, LCSW

  • Social Worker
  • Lewiston, ID
  • NPI 1083193148
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1003301680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MAIN ST STE 101",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016901",
            "telephone_number": "208-743-5906",
            "fax_number": "833-264-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MAIN ST STE 101",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016901",
            "telephone_number": "208-743-5906",
            "fax_number": "833-264-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "FITTING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "208-743-5906",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-26273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "1720414634",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Rae Seipp, APN
• Brenda A. Sellner, FNP-C
• Sequel Alliance Family Services, LLC
• Sequoia Counseling Services, Inc.
• Serenity Treatment
• Nina Sessions
• Seubert'S Inc.
• Angie A. Shantie, LCSW
• Chelsy Joy Sheppard, MSN, FNP, ARNP-C
• Mark Wilson Sheppard, D.D.S.

• Clinical Social Worker in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.