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SEA GLASS COUNSELING LLC NPI 1740705946


NPI Information

NPI: 1740705946
Provider Name: SEA GLASS COUNSELING, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
2103 E WASHINGTON ST STE 2F
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 740-1157
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SEA GLASS COUNSELING, LLC is a clinical social worker in Bloomington, IL. 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. SEA GLASS COUNSELING, LLC NPI is 1740705946. The provider is registered as an organization entity type.

The provider's business location address is:

2103 E WASHINGTON ST STE 2F
BLOOMINGTON, IL
ZIP 61701-365
Phone: (309) 740-1157

The provider's authorized official is Darci Newton .
The authorized official title is Owner/licensed Therapist and has the following contact phone number (309) 740-1157.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 9/27/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)149.019425ILLINOISNo
21041C0700XSocial WorkerClinical149.019425ILLINOISYes

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: 11/14/2023

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