NPIMap

Organization Active NPI

Trotter Social Services

Doing business as Serenity Therapy

  • Clinical Social Worker
  • Denison, TX
National Provider Identifier
1740971837
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TROTTER SOCIAL SERVICES
Doing business as
Serenity Therapy
Practice address
305 W Woodard St Ste 209
Denison, TX 75020-3136
Phone
(903) 265-8545
NPI assigned
May 18, 2023
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Martin Neary
Title
Credentialing Specialist
Phone
(518) 244-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

305 W Woodard St Ste 209
Denison, TX 75020-3136

Mailing address

305 W Woodard St Ste 209
Denison, TX 75020-3136
Phone (903) 265-8545

Other names 1

  • Serenity Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240716000058 TX Part B Supplier - Clinic/Group Practice 1355886201 Receives reassigned benefits from 1 practitioner
Practice locations: Denison, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1740971837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W WOODARD ST STE 209",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203136",
            "telephone_number": "903-265-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W WOODARD ST STE 209",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203136",
            "telephone_number": "903-265-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROTTER SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "NEARY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "518-244-3737"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.