Serenity Mind & Wellness Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SERENITY MIND & WELLNESS INC.

Practice address

334 Nevada St
Lindenhurst, NY 11757-5206

Phone

(347) 799-0588

NPI assigned

Dec 4, 2025

Organization subpart

No

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

Authorized official

Name

Jaiminique EtienneNPI 1710429295

Title

Licensed Clinical Social Worker

Phone

(347) 799-0588

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jaiminique Etienne

  • Clinical Social Worker
  • Lindenhurst, NY
  • NPI 1710429295
  NPD Authorized official

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1083577316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 NEVADA ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575206",
            "telephone_number": "347-799-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 NEVADA ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575206",
            "telephone_number": "347-799-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MIND & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "JAIMINIQUE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "347-799-0588"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.