Organization Active NPI

Serenity Comfort and Care

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1851143218
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY COMFORT AND CARE
Practice address
3719 Latrobe Dr Ste 810
Charlotte, NC 28211-5300
Phone
(980) 221-0064
Fax
(833) 733-1249
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Ms. Wanda Renee McWilliams, LCSWNPI 1710261888
Title
Owner Licensed Clinicial Social Wor
Phone
(980) 318-7049

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3719 Latrobe Dr Ste 810
Charlotte, NC 28211-5300

Mailing address

2125 Southend Dr Apt 320
Charlotte, NC 28203-5056
Phone (980) 318-7046

National Provider Directory

National Provider Directory

Locations

3719 Latrobe Dr
Ste 810
Charlotte, NC 28211
Phone (980) 221-0064

Practitioners & affiliated clinicians

Practitioners 1

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": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1851143218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 SOUTHEND DR APT 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035056",
            "telephone_number": "980-318-7046",
            "fax_number": "833-733-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR STE 810",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115300",
            "telephone_number": "980-221-0064",
            "fax_number": "833-733-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COMFORT AND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER LICENSED CLINICIAL SOCIAL WOR",
        "authorized_official_telephone_number": "980-318-7049",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.