NPIMap

Organization Active NPI

Seaside Counseling & Wellness Center, LLC.

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1306556451
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEASIDE COUNSELING & WELLNESS CENTER, LLC.
Practice address
1346 S Division St Ste 102
Salisbury, MD 21804-7021
Phone
(410) 973-2525
Fax
(410) 973-2527
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Amy P Ginnavan, LCSW-C, LCADC
Title
Owner
Phone
(410) 973-2525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1346 S Division St Ste 102
Salisbury, MD 21804-7021

Mailing address

314 Franklin Ave Ste 306
Berlin, MD 21811-1238
Phone (410) 973-2525

National Provider Directory

National Provider Directory
Tax ID family
Seaside Counseling Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1346 S Division St
Ste 102
Salisbury, MD 21804
Phone (410) 749-6822

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1306556451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 306",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111238",
            "telephone_number": "410-973-2525",
            "fax_number": "410-973-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 S DIVISION ST STE 102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047021",
            "telephone_number": "410-973-2525",
            "fax_number": "410-973-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE COUNSELING & WELLNESS CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "GINNAVAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-973-2525",
        "authorized_official_credential": "LCSW-C, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.