Organization Active NPI

Sea Level Counseling and Wellness, LLC

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1861812026
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007148 Issued in VA
Legal business name
SEA LEVEL COUNSELING AND WELLNESS, LLC
Practice address
2200 Colonial Ave Ste 12
Norfolk, VA 23517-1919
Phone
(757) 937-5780
Fax
(757) 937-5781
NPI assigned
Apr 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Ms. Abigail Morgan, LCSW
Title
Owner/Provider
Phone
(757) 937-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904007148 VA Primary

Addresses

Primary practice location

2200 Colonial Ave Ste 12
Norfolk, VA 23517-1919

Mailing address

2200 Colonial Ave Ste 12
Norfolk, VA 23517-1919
Phone (757) 937-5780

Other identifiers 1

IdentifierTypeStateIssuer
1447487483MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@sealevelcw.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1861812026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLONIAL AVE STE 12",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171919",
            "telephone_number": "757-937-5780",
            "fax_number": "757-937-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COLONIAL AVE STE 12",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171919",
            "telephone_number": "757-937-5780",
            "fax_number": "757-937-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA LEVEL COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "757-937-5780",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447487483",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sealevelcw.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2200 Colonial Ave Ste 12",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235171919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.