Active NPI
Jaiminique Etienne LCSW P.C.
Doing business as Serenity Mind & Wellness
- Clinical Social Worker
- Lindenhurst, NY
National Provider Identifier
1578468807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JAIMINIQUE ETIENNE LCSW P.C.
- Doing business as
- Serenity Mind & Wellness
- Practice address
- 334 Nevada St
Lindenhurst, NY 11757-5206 - Phone
- (631) 320-8697
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaiminique Etienne, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (631) 320-8697
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
334 Nevada St
Lindenhurst, NY 11757-5206
Mailing address
334 Nevada St
Lindenhurst, NY 11757-5206
Other names 1
- Serenity Mind & Wellness
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.
-
- Clinical Social Worker
- Lindenhurst, NY
- NPI 1710429295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1578468807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 NEVADA ST",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117575206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 NEVADA ST",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117575206",
"telephone_number": "631-320-8697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAIMINIQUE ETIENNE LCSW P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "ETIENNE",
"authorized_official_first_name": "JAIMINIQUE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "631-320-8697",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Serenity Mind & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.