Provider Demographics
NPI:1699512269
Name:RAIN, SERENITY (MSW, LMSW, LGSW)
Entity type:Individual
Prefix:
First Name:SERENITY
Middle Name:
Last Name:RAIN
Suffix:
Gender:F
Credentials:MSW, LMSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 EUCLA DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3735
Mailing Address - Country:US
Mailing Address - Phone:202-573-7497
Mailing Address - Fax:
Practice Address - Street 1:707 EUCLA DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-3735
Practice Address - Country:US
Practice Address - Phone:202-573-7497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50082854104100000X
MD26679104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker