SERENO CLINIC LLC NPI 1346069788

NPI Information

  • NPI: 1346069788
  • Provider Name: SERENO CLINIC LLC
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 3717 DECATUR AVE STE 3
    KENSINGTON, MD
    ZIP 20895
  • Phone: (443) 510-0456

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NPI Details

SERENO CLINIC LLC is an addiction medicine preventive medicine in Kensington, MD. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. SERENO CLINIC LLC NPI is 1346069788. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3717 DECATUR AVE STE 3
KENSINGTON, MD
ZIP 20895-148
Phone: (443) 510-0456

The provider's authorized official is Melanie Miksovsky .
The authorized official title is Executive Director and has the following contact phone number (443) 510-0456.

The enumeration date for this NPI number is 10/3/2024 and was last updated on 10/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0300XPreventive MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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