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SEAGLASS COUNSELING & WELLNESS CENTER LLC NPI 1598150732


NPI Information

NPI: 1598150732
Provider Name: SEAGLASS COUNSELING & WELLNESS CENTER, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
986 LEONARDVILLE RD
FLOOR 1
ATLANTIC HIGHLANDS, NJ
ZIP 07716
Phone: (866) 832-6260
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SEAGLASS COUNSELING & WELLNESS CENTER, LLC is a clinical social worker in Atlantic Highlands, NJ. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SEAGLASS COUNSELING & WELLNESS CENTER, LLC NPI is 1598150732. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

986 LEONARDVILLE RD
FLOOR 1
ATLANTIC HIGHLANDS, NJ
ZIP 07716-713
Phone: (866) 832-6260

The provider's authorized official is Christopher Nackos .
The authorized official title is Owner and has the following contact phone number (866) 832-6260.

The enumeration date for this NPI number is 4/4/2015 and was last updated on 4/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical44SC05475200NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
144SC05475200OTHERNEW JERSEYLCSW LICENSE
244SC05487600OTHERNEW JERSEYLCSW LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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