Organization Active NPI

Serenity Walk Counseling Services, LCSW, PLLC

  • Clinical Social Worker
  • Victor, NY
National Provider Identifier
1902515513
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY WALK COUNSELING SERVICES, LCSW, PLLC
Practice address
10 East Main Street
Suite 210, Mailslot 4
Victor, NY 14564
Phone
(585) 905-5468
NPI assigned
Nov 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Mrs. Sarah G Martyn-Brunner, LCSW, CASAC, CST
Title
Owner
Phone
(585) 905-5468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10 East Main Street
Suite 210, Mailslot 4
Victor, NY 14564

Mailing address

10 East Main Street
Suite 210, Mailbox 4
Victor, NY 14564
Phone (585) 905-5468

Other identifiers 1

IdentifierTypeStateIssuer
1366901217OtherNYINSURANCE

National Provider Directory

National Provider Directory

Locations

5297 Parkside Dr
Ste 423
Canandaigua, NY 14424

10 E Main St
Ste 210
Victor, NY 14564
Phone (480) 528-1796

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1902515513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EAST MAIN STREET",
            "address_2": "SUITE 210, MAILBOX 4",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "14564",
            "telephone_number": "585-905-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EAST MAIN STREET",
            "address_2": "SUITE 210, MAILSLOT 4",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "14564",
            "telephone_number": "585-905-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WALK COUNSELING SERVICES, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "MARTYN-BRUNNER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-905-5468",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, CASAC, CST"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1366901217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.