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SEASIDE COUNSELING LLC NPI 1073841995


NPI Information

NPI: 1073841995
Provider Name: SEASIDE COUNSELING, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
85 EASTERN AVE
SUITE G102
GLOUCESTER, MA
ZIP 01930
Phone: (978) 852-8042
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SEASIDE COUNSELING, LLC is a clinical social worker in Gloucester, MA. The provider is 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. SEASIDE COUNSELING, LLC NPI is 1073841995. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

85 EASTERN AVE
SUITE G102
GLOUCESTER, MA
ZIP 01930-512
Phone: (978) 852-8042

The provider's authorized official is Courtney H Wilson .
The authorized official title is Co Owner and has the following contact phone number (978) 852-8042.

The enumeration date for this NPI number is 12/4/2009 and was last updated on 12/4/2009.


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
1104100000XSocial Worker215746MASSACHUSETTSNo
21041C0700XSocial WorkerClinical111091MASSACHUSETTSYes

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: 5/5/2024

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