Serene Way Therapy & Wellness Center LLC
NPI 1053190553ActiveOrganization· Social Worker, Clinical· Brockton, MA
Social Worker, Clinical in Brockton, Massachusetts, registered in NPPES in September 2023. The authorized official on file is Yvelande Boursiquot, LICSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053190553 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2023 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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