BLUE WATER SERENITY COUNSELING PLLC
NPI 1023415072
Social Worker - Clinical in Fort Gratiot, MI

Active since November 19, 2014
5429 SHOREWOOD DR, FORT GRATIOT, MI 48059(810) 357-1725(810) 824-4865 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blue Water Serenity Counseling Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER SERENITY COUNSELING PLLC (NPI 1023415072) is a healthcare organization registered as a clinical in Fort Gratiot, Michigan and active in the NPI registry since November 2014. The organization lists Alexis Johnson, Owner And Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1023415072
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLUE WATER SERENITY COUNSELING PLLC
Location Address5429 SHOREWOOD DRFort Gratiot, MI 48059-3138
Mailing Address5429 Shorewood DrFort Gratiot, MI 48059-3138 · (810) 357-1725 · Fax (810) 824-4865
Fax(810) 824-4865
Organization SubpartNo
Authorized OfficialAlexis JohnsonOwner And Sole Proprietor · (810) 824-4865
Enumeration DateNovember 19, 2014
Last NPPES UpdateDecember 8, 2014
NPI 1023415072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

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.

5429 SHOREWOOD DR, Fort Gratiot, MI 48059

Other Identifiers 1

Other1609118637MI · National Provider Identification

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Serenity Counseling PLLC's NPI number?

The NPI number for Blue Water Serenity Counseling PLLC is 1023415072. It was assigned to this organization in the NPPES registry on November 19, 2014.

Where is Blue Water Serenity Counseling PLLC located?

Blue Water Serenity Counseling PLLC is located at 5429 Shorewood Dr, Fort Gratiot, MI 48059. The listed phone number is (810) 357-1725.

What is Blue Water Serenity Counseling PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Blue Water Serenity Counseling PLLC was last updated on December 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.