NPIMap

Organization Active NPI

Life of Serenity Professional Counseling Services PLLC

  • Clinical Social Worker
  • Spring Lake, NC
National Provider Identifier
1366013484
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE OF SERENITY PROFESSIONAL COUNSELING SERVICES PLLC
Practice address
35 Blue Pine Dr
Spring Lake, NC 28390-9176
Phone
(336) 419-6210
NPI assigned
Jul 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Sasha Sharmaine Hamilton, MSW, LCSWNPI 1508387960
Title
Owner
Phone
(336) 419-6210

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

35 Blue Pine Dr
Spring Lake, NC 28390-9176

Mailing address

35 Blue Pine Dr
Spring Lake, NC 28390-9176
Phone (336) 419-6210

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1366013484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BLUE PINE DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283909176",
            "telephone_number": "336-419-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BLUE PINE DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283909176",
            "telephone_number": "336-419-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OF SERENITY PROFESSIONAL COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "SHARMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-419-6210",
        "authorized_official_credential": "MSW, 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 Spring Lake, NC

Sources for this page

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