Sea Change Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SEA CHANGE COUNSELING, LLC

Practice address

7 Oak Hill Ter Ste 211
Scarborough, ME 04074-7912

Phone

(207) 307-0757

NPI assigned

Jul 23, 2024

Last updated

Jul 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jennie M Moskowitz, LCSWNPI 1508124058

Title

Licensed Clinical Social Worker

Phone

(207) 307-0757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennie M Moskowitz, LCSW

  • Clinical Social Worker
  • Scarborough, ME
  • NPI 1508124058
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1871321554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 US ROUTE 1 # 153",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748127",
            "telephone_number": "207-307-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TER STE 211",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747912",
            "telephone_number": "207-307-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-21",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "207-307-0757",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Hope Schwartz, M.D.
• Amanda L Schweizer, PA-C
• Kristen Alyse Scopaz, MD
• Julianne Scott, D.O.
• Susan D Scott, M.S. ED., L.P.C.
• Seacoast Hand Therapy, LLC
• Madeleine Kay Seger, MOT, OTR/L
• Megan Frances Selvitelli, M.D.
• Henry W. Sesselberg, M.D.
• Catherine P Sexton, FNP

• Clinical Social Worker in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.