Serenity Therapy Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SERENITY THERAPY SERVICES

Practice address

8987 E Tanque Verde Rd Ste 309-1030
Tucson, AZ 85749-9610

Phone

(520) 352-7876

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Erin Wilson, LCSWNPI 1275072126

Title

Therapist and Owner

Phone

(520) 352-7876

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Erin Wilson, LCSW

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1275072126
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1194325324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 E TANQUE VERDE RD STE 309-1030",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499610",
            "telephone_number": "520-352-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8987 E TANQUE VERDE RD STE 309-1030",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499610",
            "telephone_number": "520-352-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "THERAPIST AND OWNER",
        "authorized_official_telephone_number": "520-352-7876",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://erin-wilson.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "internal messaging system",
            "address_1": "8987 E Tanque Verde Rd Ste 309-1030",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857499610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marybeth Theano Serdenes, OTR/L
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• Serenity Luxury Living LLC (Serenity)
• Serenity Urgent Care LLC (Serenity Urgent Care and Wellness)
• Nancy Jane Sergeant-Abbate, DR.
• Wildaline Serin
• Robert Serlin, MD
• Robyn Page Serlin, M.S. CCC-SLP

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.