Seaside Counseling & Wellness Center, LLC.
NPI 1780935239ActiveOrganization· Social Worker, Clinical· Berlin, MD
Social Worker, Clinical in Berlin, Maryland, registered in NPPES in September 2012. The authorized official on file is Amy P. Ginnavan, LCSW-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780935239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2012 |
| Last updated in NPPES | Nov 18, 2022 |
| Certified by provider | Nov 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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