Organization Active NPI

Sereno Clinic LLC

  • Substance Abuse Rehabilitation Facility
  • Kensington, MD
National Provider Identifier
1124961362
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SERENO CLINIC LLC
Practice address
3713 Decatur Ave
Kensington, MD 20895-2105
Phone
(301) 922-4301
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Melanie Miksovsky, NA
Title
Agent
Phone
(443) 510-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3713 Decatur Ave
Kensington, MD 20895-2105

Mailing address

3717 Decatur Ave Ste 3
Kensington, MD 20895-2148
Phone (301) 922-4301

National Provider Directory

National Provider Directory
Tax ID family
Sereno Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1124961362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 DECATUR AVE STE 3",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952148",
            "telephone_number": "301-922-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 DECATUR AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952105",
            "telephone_number": "301-922-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENO CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "MIKSOVSKY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "443-510-0456",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.