Individual provider Active NPI

Serenity Rain, LCSW, LICSW, LCSW-C

  • Clinical Social Worker
  • Waldorf, MD
National Provider Identifier
1699512269
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26679 Issued in MD
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

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LC200003505DCMDClinical Social Worker
26679MDMDClinical Social Worker
0904017520VAMDClinical 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.

Verify at the official NPI Registry.