NPIMap

Organization Active NPI

Serenity Counseling & Wellness

  • Clinical Social Worker
  • Hawthorne, NJ
National Provider Identifier
1780196170
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06197900 Issued in NJ
Legal business name
SERENITY COUNSELING & WELLNESS
Practice address
90 3Rd Ave # 2
Hawthorne, NJ 07506-2414
Phone
(973) 348-5594
NPI assigned
Oct 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Miss Dhesyre Novoa, LCSWNPI 1477186187
Title
Lead Clinician
Phone
(973) 348-5594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SL06197900 NJ Primary

Addresses

Primary practice location

90 3Rd Ave # 2
Hawthorne, NJ 07506-2414

Mailing address

PO Box 1586
Paterson, NJ 07509-1586

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1780196170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1586",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075091586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 3RD AVE # 2",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062414",
            "telephone_number": "973-348-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "NOVOA",
        "authorized_official_first_name": "DHESYRE",
        "authorized_official_title_or_position": "LEAD CLINICIAN",
        "authorized_official_telephone_number": "973-348-5594",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06197900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.