Organization Active NPI

Serenity Healing Therapy LLC

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1275428682
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY HEALING THERAPY LLC
Practice address
558 Maple Ave Ste 3
Cheshire, CT 06410-2100
Phone
(203) 200-8202
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Susan Dalmoura, LCSWNPI 1093273799
Title
Providing Owner
Phone
(203) 200-8202

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

558 Maple Ave Ste 3
Cheshire, CT 06410-2100

Mailing address

75 Parkview Dr
Plantsville, CT 06479-1933
Phone (203) 200-8202

National Provider Directory

National Provider Directory

Locations

558 Maple Ave
Ste 3
Cheshire, CT 06410
Phone (203) 200-8202

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": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1275428682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PARKVIEW DR",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791933",
            "telephone_number": "203-200-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 MAPLE AVE STE 3",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102100",
            "telephone_number": "203-200-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "DALMOURA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PROVIDING OWNER",
        "authorized_official_telephone_number": "203-200-8202",
        "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": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.