Organization Active NPI

Serene Way Therapy & Wellness Center LLC

Doing business as Serene Way Therapy & Wellness Center

  • Clinical Social Worker
  • Brockton, MA
National Provider Identifier
1053190553
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENE WAY THERAPY & WELLNESS CENTER LLC
Doing business as
Serene Way Therapy & Wellness Center
Practice address
37 Belmont St Ste 203
Brockton, MA 02301-5289
Phone
(774) 381-9648
NPI assigned
Sep 25, 2023
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Yvelande Boursiquot, LICSWNPI 1851858401
Title
Owner
Phone
(857) 247-2272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

37 Belmont St Ste 203
Brockton, MA 02301-5289

Mailing address

37 Parkview LN
Brockton, MA 02302-1960
Phone (857) 247-2272

Other practice location 1

594 Charles St
Providence, RI 02904-1370
Phone (774) 381-9648

Other names 2

  • Serene Way Therapy & Wellness Center Doing business as
  • 7Seven Skin Care Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021003295 MA Part B Supplier - Clinic/Group Practice 5890283980 Receives reassigned benefits from 3 practitioners
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory

Locations

37 Belmont St
Ste 203
Brockton, MA 02301
Phone (617) 980-8789

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1053190553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PARKVIEW LN",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021960",
            "telephone_number": "857-247-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BELMONT ST STE 203",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015289",
            "telephone_number": "774-381-9648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "594 Charles St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029041370",
            "country_code": "US",
            "telephone_number": "774-381-9648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENE WAY THERAPY & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "BOURSIQUOT",
        "authorized_official_first_name": "YVELANDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-247-2272",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Way Therapy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "7Seven Skin Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.