Receiving Serenity, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RECEIVING SERENITY, PLLC

Practice address

9625 David Taylor Dr Ste 119B
Charlotte, NC 28262-2362

Phone

(704) 984-8748

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Kristen Sealey, LCSWNPI 1942785589

Title

Owner

Phone

(704) 984-8748

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Kristen Sealey, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1942785589
  NPD (past) Authorized official

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1740938067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 DAVID TAYLOR DR STE 119B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622362",
            "telephone_number": "704-984-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 DAVID TAYLOR DR STE 119B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622362",
            "telephone_number": "704-984-8748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2229 Village Lake Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282120077",
            "country_code": "US",
            "telephone_number": "704-984-8748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECEIVING SERENITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "SEALEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-984-8748",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Diane Rebello, MSW, LCSW
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• Elena Recarey
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• Heidi Esmeralda Recinos
• Reclaim Your Life LLC
• Recovering Spirits Counseling and Consulting, PLLC
• Recovery in Motion Physical Therapy, LLC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.