SERENITY PSYCHIATRIC OUTPATIENT, LLC (NPI# 1881973642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881973642 |
| Entity Type | Organization |
| Organization Name | SERENITY PSYCHIATRIC OUTPATIENT, LLC |
| Practice Address |
300 Rawls Dr Ste 900 Mccomb MS 39648-2864 |
| Practice Telephone | 6016848284 |
| Practice Fax Number | 6016848199 |
| Mailing Telephone | 6016848284 |
| Mailing Fax Number | 6016848199 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | KRISTI STOGNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6016848284 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05503121 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1312c Harrison Ave, Mccomb, MS 396482830 | 6016848284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578834198 | Serenity Psychiatric Outpatient, LLC | Social Worker | 1000 Mckeen Pl, Monroe, LA 71201-4406 | 2012-01-13 |
| 1083903298 | Serenity Psychiatric Outpatient, LLC | Social Worker | 616 Armory St, Greensboro, AL 36744-2110 | 2011-03-29 |
| Street Address |
300 RAWLS DR STE 900 |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679722904 | Stephanie Dion Spears | Social Worker | 300 Rawls Dr Ste 900, Mccomb, MS 39648-2864 | 2008-09-10 |
| 1194376012 | Stephanie Spears, Lcsw, Pllc | Social Worker | 300 Rawls Dr Ste 900, Mccomb, MS 39648-2864 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609347160 | Patricia D Artigues | Social Worker | 900 Hickory Ave, Mccomb, MS 39648-2216 | 2018-12-10 |
| 1184057556 | Chris M Huff Lcsw Pllc | Social Worker | 420 Delaware Ave, Mccomb, MS 39648-4021 | 2013-08-20 |
| 1679722904 | Stephanie Dion Spears | Social Worker | 300 Rawls Dr Ste 900, Mccomb, MS 39648-2864 | 2008-09-10 |
| 1346437761 | Mccomb School District | Social Worker | 1000 Elmwood St, Mccomb, MS 39648-2536 | 2007-10-01 |
| 1518173525 | Thomas A Gonsalves | Social Worker | 307 Apache Dr Ste B, Mccomb, MS 39648-6309 | 2007-05-15 |
| 1659311967 | Thomas A Gonsalves Incorporated | Social Worker | 307 Apache Drive, Suite B, Mccomb, MS 39648-6309 | 2006-06-07 |
| 1730183062 | Mary Jan Treadwell | Social Worker | 1701 White Street, Mccomb, MS 39648 | 2005-06-01 |
| 1821608142 | Stepping Stones Testing & Therapy Services, Pllc | Social Worker | 420 Delaware Ave, Mccomb, MS 39648-4021 | 2020-08-01 |
| 1760092183 | Cycily Rashun Denman | Social Worker | 420 Delaware Ave, Mccomb, MS 39648-4021 | 2020-08-01 |
| 1194376012 | Stephanie Spears, Lcsw, Pllc | Social Worker | 300 Rawls Dr Ste 900, Mccomb, MS 39648-2864 | 2019-09-23 |
| Find all providers in MCCOMB | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.