Active NPI
Serene Soul Therapy, LLC
- Clinical Social Worker
- Nichols, SC
National Provider Identifier
1487530739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SERENE SOUL THERAPY, LLC
- Practice address
- 2381 Carolina Rd
Nichols, SC 29581-4641 - Phone
- (317) 717-2769
- NPI assigned
- Aug 13, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Valerie Ann Hodges, LISW-CP
- Title
- Owner
- Phone
- (317) 717-2769
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Nichols, SC
- NPI 1205568375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260209000447 | SC | Part B Supplier - Clinic/Group Practice | 4880173046 |
Receives reassigned benefits from 1 practitioner Practice locations: North Myrtle Beach, SC |
National Provider Directory
National Provider DirectoryLocations
9821 S Highway 905
Ste A
Longs, SC 29568
Phone (440) 470-8298
2423 Highway 17 S
#22
North Myrtle Beach, SC 29582
Phone (440) 470-8298
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2381 Carolina Rd
Nichols, SC 29581-4641
Mailing address
2381 Carolina Rd
Nichols, SC 29581-4641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2025.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1487530739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2381 CAROLINA RD",
"city": "NICHOLS",
"state": "SC",
"postal_code": "295814641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2381 CAROLINA RD",
"city": "NICHOLS",
"state": "SC",
"postal_code": "295814641",
"telephone_number": "317-717-2769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENE SOUL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-13",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-717-2769",
"authorized_official_credential": "LISW-CP"
},
"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 Nichols, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.