Active NPI
Serenity Rain, LCSW, LICSW, LCSW-C
- Clinical Social Worker
- Waldorf, MD
National Provider Identifier
1699512269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26679
- Practice address
- 707 Eucla Dr
Waldorf, MD 20601-3735 - Phone
- (202) 573-7497
- NPI assigned
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26679 | MD | Primary |
| Clinical Social Worker | 1041C0700X | LC200003505 | DC | |
| Clinical Social Worker | 1041C0700X | 0904017520 | VA |
Addresses
Primary practice location
707 Eucla Dr
Waldorf, MD 20601-3735
Mailing address
707 Eucla Dr
Waldorf, MD 20601-3735
Phone (202) 573-7497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC200003505 | DC | MD | Clinical Social Worker |
| 26679 | MD | MD | Clinical Social Worker |
| 0904017520 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1699512269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 EUCLA DR",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013735",
"telephone_number": "202-573-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 EUCLA DR",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013735",
"telephone_number": "202-573-7497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIN",
"first_name": "SERENITY",
"credential": "LCSW, LICSW, LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "26679",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC200003505",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904017520",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.