NPIMap

Organization Active NPI

Serene Minds, LLC

  • Clinical Social Worker
  • Camden, DE
National Provider Identifier
1912134222
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000929 Issued in DE
Legal business name
SERENE MINDS, LLC
Practice address
52 Traybern Blvd
Camden, DE 19934-1946
Phone
(302) 241-9673
NPI assigned
Jun 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
Carol J Dyer, L.C.S.W
Title
Owner/Director
Phone
(302) 241-9673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Q1-0000929 DE Primary

Addresses

Primary practice location

52 Traybern Blvd
Camden, DE 19934-1946

Mailing address

52 Traybern Blvd
Camden, DE 19934-1946
Phone (302) 241-9673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1912134222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TRAYBERN BLVD",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199341946",
            "telephone_number": "302-241-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TRAYBERN BLVD",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199341946",
            "telephone_number": "302-241-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "302-241-9673",
        "authorized_official_credential": "L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.