Organization Active NPI

Serenity Care & Wellness, PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1306693718
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY CARE & WELLNESS, PLLC
Practice address
5412 Eno River Dr
Durham, NC 27704-9404
Phone
(984) 327-8563
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Philicia Joy, LCSWANPI 1386316719
Title
Owner
Phone
(984) 327-8563

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

5412 Eno River Dr
Durham, NC 27704-9404

Mailing address

1821 Hillandale Rd Ste 1B-228
Durham, NC 27705-2659

National Provider Directory

National Provider Directory

Locations

1821 Hillandale Rd
Ste 1B228
Durham, NC 27705

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": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1306693718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD STE 1B-228",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 ENO RIVER DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277049404",
            "telephone_number": "984-327-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "PHILICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-327-8563",
        "authorized_official_credential": "LCSWA"
    },
    "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 Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.