Sea Glass Counseling PLLC
NPI 1083525414ActiveOrganization· Social Worker, Clinical· Wilmington, NC
Social Worker, Clinical in Wilmington, North Carolina, registered in NPPES in September 2026. The authorized official on file is Jennifer Keever Peterken, LCSW, Licensed Clinical Social Worker.
Overview
| NPI | 1083525414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2026 |
| Last updated in NPPES | Sep 15, 2026 |
| Certified by provider | Sep 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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