Serenity Life Management Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CW015959 Issued in PA

Legal business name

SERENITY LIFE MANAGEMENT GROUP

Practice address

9816 Frankstown Rd
Lower Level Suite
Penn Hills, PA 15235-1654

Phone

(412) 583-7892

Fax

(412) 241-5509

NPI assigned

Aug 8, 2011

Last updated

Aug 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dominique J Stevens-Young, LCSWNPI 1790821379

Title

Clinical Social Worker

Phone

(412) 583-7892

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Dominique J Stevens-Young, MSW, LCSW

  • Clinical Social Worker
  • Penn Hills, PA
  • NPI 1790821379
  NPD (past) Authorized official

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1801175955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 DOROTHY DR",
            "city": "PENN HILLS",
            "state": "PA",
            "postal_code": "152351831",
            "telephone_number": "412-583-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 FRANKSTOWN RD",
            "address_2": "LOWER LEVEL SUITE",
            "city": "PENN HILLS",
            "state": "PA",
            "postal_code": "152351654",
            "telephone_number": "412-583-7892",
            "fax_number": "412-241-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIFE MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "STEVENS-YOUNG",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "412-583-7892",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW015959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016115230003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RMPC Habiliatize Services
• Jada Robinson
• Lea M Robinson
• Safe Haven Group Home LLC
• Shirley Ann Seals, M.S.
• Jacqueline Ann Shellaby, LCSW
• Janet Elizabeth Horton Spink, MA, MT-BC, LPC
• Stability Home Care Services, LLC
• Dominique J Stevens-Young, MSW, LCSW
• Christopher Domenic Szelong, PHARMD

• Community/Behavioral Health Agency in Penn Hills, PA
• Providers in Penn Hills, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.