La Serenidad PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LA SERENIDAD PLLC

Doing business as

La Serenidad Therapy Services

Practice address

178 Tributary Cir
Wilmington, NC 28401-7012

Phone

(954) 544-7766

NPI assigned

Mar 23, 2022

Last updated

Mar 28, 2024By 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

Alan Robert Brailsford de Lopez, MSW LCSWNPI 1235600057

Title

Ceo

Phone

(910) 227-9797

Specialties & licenses 1

Addresses

Other names 1

• LA SERENIDAD THERAPY SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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.

• Alan Robert Brailsford de Lopez, LCSW LCAS CSI

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1235600057

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Chrissy Dawn Keefe, MSW LCSWA

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1619662681
  Medicare reassignment Care Compare group
• Matrice Evelyena Morrison, LCMHC

  • Professional Counselor
  • Wilmington, NC
  • NPI 1629431945
  Medicare reassignment NPD

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1427707660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 TRIBUTARY CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017012",
            "telephone_number": "954-544-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 TRIBUTARY CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017012",
            "telephone_number": "954-544-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Randall Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032565",
            "country_code": "US",
            "telephone_number": "910-227-9797",
            "fax_number": "910-714-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA SERENIDAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "BRAILSFORD DE LOPEZ",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-227-9797",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA SERENIDAD THERAPY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.