NPIMap

Organization Active NPI

Serenity Workforce Development Institute

  • Health Maintenance Organization
  • Washington, DC
National Provider Identifier
1629433248
Registry record updated Dec 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
LC50080419 Issued in DC
Legal business name
SERENITY WORKFORCE DEVELOPMENT INSTITUTE
Doing business as
Serenity Workforce Development Institute
Practice address
1629 K St NW
Washington, DC 20006-1602
Phone
(202) 373-2853
Fax
(202) 506-3712
NPI assigned
Dec 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2015

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

Authorized official

Name
Dr. Roosevelt Cohens, LCSW,LICSW,LPC
Title
Ceo
Phone
(202) 373-2853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X LC50080419 DC Primary
Preferred Provider Organization 305R00000X LC50080419 DC

Addresses

Primary practice location

1629 K St NW
Washington, DC 20006-1602

Mailing address

1718 5TH St NW
Washington, DC 20001-1818
Phone (202) 373-2853

Other names 1

  • Serenity Workforce Development Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serenity Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1629 K St NW
Washington, DC 20006
Phone (202) 745-0073

NPI Registry JSON

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451088000000",
    "number": "1629433248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 5TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011818",
            "telephone_number": "202-373-2853",
            "fax_number": "202-506-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061602",
            "telephone_number": "202-373-2853",
            "fax_number": "202-506-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WORKFORCE DEVELOPMENT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-26",
        "last_updated": "2015-12-26",
        "status": "A",
        "authorized_official_last_name": "COHENS",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-373-2853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW,LICSW,LPC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "DC",
            "license": "LC50080419",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "DC",
            "license": "LC50080419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Workforce Development Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; 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.