Serenity Psychotherapy LLC
NPI 1295258101ActiveOrganization· Social Worker, Clinical· Long Beach, MS
Social Worker, Clinical in Long Beach, Mississippi, registered in NPPES in July 2017. The authorized official on file is Heather W. Black, LCSW, Therapist/ Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295258101 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2017 |
| Last updated in NPPES | Dec 17, 2024 |
| Certified by provider | Dec 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C5680 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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