Sea Glass Clinical Services LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SEA GLASS CLINICAL SERVICES LLC

Practice address

17 Florence St
Medford, MA 02155-4508

Phone

(617) 209-9890

NPI assigned

Mar 25, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alyssa Chrobuck, LICSWNPI 1518459601

Title

Owner

Phone

(206) 612-0430

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Chrobuck, LICSW

  • Clinical Social Worker
  • Medford, MA
  • NPI 1518459601
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1053250050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53003",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021530003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FLORENCE ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554508",
            "telephone_number": "617-209-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA GLASS CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "CHROBUCK",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-612-0430",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Faye Schwartz, LICSW
• Amy Lynn Schwartzkopf, MS, L/AT, ATC
• Marc Schwendemann, PSYD
• Carolyn Schwirz
• Nicole Lyn Scouras, FNP
• Dan Seligman, D.P.M.
• Nicole Selvaraj, DPT
• Jovan Emmanuel Sematimba, RN
• Eva Ray Senner, LICSW
• Debra R. Severo, RNCS

• Social Worker in Medford, MA
• Providers in Medford, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.