Active NPIOrganization

Seaside Counseling, LLC

Social Worker, Clinical in Gloucester, Massachusetts

NPI Number1073841995
Practice location
85 Eastern Ave, Suite G102, Gloucester, MA 01930-6512
Fax
—
Last updated
December 4, 2009

Seaside Counseling, LLC is a healthcare organization based in Gloucester, MA. Seaside Counseling, LLC practices in Gloucester, MA. The NPI Number for Seaside Counseling, LLC is 1073841995 and holds a License No. 215746 (MA). The current practice location address for Seaside Counseling, LLC is 85 Eastern Ave, Suite G102, Gloucester, MA 01930-6512 and can be reached out via phone at 978-852-8042.

Provider Profile Details

NPI Number
1073841995
Provider Name
Seaside Counseling, LLC
Provider Entity Type
Organization
Address
85 Eastern Ave, Suite G102, Gloucester, MA 01930-6512
Phone Number
978-852-8042
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Courtney H Wilson, LICSW · Co Owner · 978-852-8042
Provider Enumeration Date
December 4, 2009
Last Update Date
December 4, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Eastern Ave
Suite G102
Gloucester, MA 01930-6512
Zip
01930-6512
Phone Number
978-852-8042
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
85 Eastern Ave
Suite G102
Gloucester, MA 01930-6512
City
Gloucester
State
MA
Zip
01930-6512
Phone Number
978-852-8042

License Information

License Number (1)
215746
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
111091
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Seaside Counseling, LLC?

The NPI number of Seaside Counseling, LLC is 1073841995. It was assigned on December 4, 2009 and is currently active in the NPPES registry.

What is the specialty of Seaside Counseling, LLC?

Seaside Counseling, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 215746.

Where does Seaside Counseling, LLC practice?

The practice location is 85 Eastern Ave, Suite G102, Gloucester, MA 01930-6512. The office can be reached at 978-852-8042 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073841995 directly on the NPPES registry website.

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