Serenity Solutions Counseling and Consulting

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4701 Issued in SC

Legal business name

SERENITY SOLUTIONS COUNSELING AND CONSULTING

Practice address

130 E Richardson Ave
Summerville, SC 29483-6333

Phone

(803) 397-5010

Fax

(866) 871-8001

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Fredrickson Trudeau, LISW-CP

Title

Sole Proprietor

Phone

(803) 397-5010

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wendy Fredrickson Trudeau, LISW-CP Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Knecht Lindroth, LISW

  • Clinical Social Worker
  • Summerville, SC
  • NPI 1558681874
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1659720266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E RICHARDSON AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836333",
            "telephone_number": "803-397-5010",
            "fax_number": "866-871-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E RICHARDSON AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836333",
            "telephone_number": "803-397-5010",
            "fax_number": "866-871-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SOLUTIONS COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "TRUDEAU",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "FREDRICKSON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "803-397-5010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "4701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1177",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1174585988",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendy Fredrickson Trudeau, LISW-CP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Robert Selinsky, DPT
• Tharakeswari Selvakumar, MD, PHD
• Senior Doc South Carolina PC
• Senior Therapy Solutions, LLC
• Serenity Begins Within
• Orlin Sergev, M.D., PH.D.
• Joseph Michael Serra, DDS
• Stacey Sessions
• Stephanie Severns, PMHNP, RN
• Leslie Tannery Sewell, NP-C

• Clinical Social Worker in Summerville, SC
• Providers in Summerville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.