Serenity Recovery Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801080309 Issued in MI

Legal business name

SERENITY RECOVERY SERVICES LLC

Practice address

1122 North Leroy Suite a
Fenton, MI 48430-1415

Phone

(810) 240-0143

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Peter J Healey, LMSWNPI 1356407886

Title

LMSW

Phone

(810) 240-0143

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Peter Healey

  • Clinical Social Worker
  • Fenton, MI
  • NPI 1356407886
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1952656985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MARY COURT",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301415",
            "telephone_number": "810-240-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 NORTH LEROY SUITE A",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301415",
            "telephone_number": "810-240-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "810-240-0143",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Seaward, LLPC
• Justine Seeley
• Larry Joe Segroves, D.O.
• Eric Scott Seiger, DO
• Sequoia Psychological Services
• Seven Lakes Periodontics
• Michelle Ann Sgalia, D.D.S.
• My Le Shaw, M.D.
• Susan Marie Shaw, LPC
• Darcy Shay, FNP

• Clinical Social Worker in Fenton, MI
• Providers in Fenton, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.