Organization Active NPI

Serenity 7 Counseling Services, PLLC

  • Clinical Social Worker
  • Laurinburg, NC
National Provider Identifier
1104590447
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY 7 COUNSELING SERVICES, PLLC
Practice address
303 Atkinson St
Laurinburg, NC 28352-3633
Phone
(910) 318-3012
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Teresa W Samuel, LCSWNPI 1235489832
Title
Licensed Clinical Social Worker
Phone
(910) 318-3012

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

303 Atkinson St
Laurinburg, NC 28352-3633

Mailing address

12820 Woodbrige Drive
Laurinburg, NC 28352
Phone (910) 318-3012

Other names 1

  • Serenity 7 Counseling Services, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

303 Atkinson St
Laurinburg, NC 28352
Phone (910) 318-3012

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1104590447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 WOODBRIGE DRIVE",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "28352",
            "telephone_number": "910-318-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523633",
            "telephone_number": "910-318-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY 7 COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "910-318-3012",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity 7 Counseling Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.