| Seaside Counseling & Wellness Center, Llc. | |
|
314 Franklin Ave Suite 306 Berlin MD 21811 | |
| (410) 973-2525 | |
| (410) 973-2527 |
| Full Name | Seaside Counseling & Wellness Center, Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 314 Franklin Ave, Berlin, Maryland |
| Authorized Official Name and Position | Amy P Ginnavan (OWNER) |
| Authorized Official Contact | 4109732525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Counseling & Wellness Center, Llc. 314 Franklin Ave Suite 306 Berlin MD 21811 Ph: (410) 973-2525 | Seaside Counseling & Wellness Center, Llc. 314 Franklin Ave Suite 306 Berlin MD 21811 Ph: (410) 973-2525 |
| NPI Number | 1780935239 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 11/18/2022 |
| Certification Date | 11/18/2022 |
| Medicare PECOS PAC ID | 2961648142 |
|---|---|
| Medicare Enrollment ID | O20130412000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780935239 | NPI | - | NPPES |
| Provider Name | Katherine Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215151964 PECOS PAC ID: 4688750334 Enrollment ID: I20080321000109 |
| Provider Name | Debra Ann Dotson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306975446 PECOS PAC ID: 3173694106 Enrollment ID: I20080619000346 |
| Provider Name | Mary Kaul-black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215006598 PECOS PAC ID: 6305038282 Enrollment ID: I20101011000541 |
| Provider Name | Valerie Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639323108 PECOS PAC ID: 5294916185 Enrollment ID: I20110225000121 |
| Provider Name | Erin K Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215294699 PECOS PAC ID: 6406005461 Enrollment ID: I20121008000072 |
| Provider Name | Amy P Ginnavan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326179813 PECOS PAC ID: 9234375429 Enrollment ID: I20130412000387 |
| Provider Name | Jared T Rowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336442177 PECOS PAC ID: 8426296658 Enrollment ID: I20130530000236 |
| Provider Name | Nina S Pusey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447502802 PECOS PAC ID: 6002178381 Enrollment ID: I20180326002818 |
| Provider Name | Kimberly A Fogle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427533066 PECOS PAC ID: 9335571454 Enrollment ID: I20191112000381 |
| Provider Name | Bibiana Koh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730191040 PECOS PAC ID: 9133147002 Enrollment ID: I20231128003131 |
| Provider Name | Robert Wayne Realini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073165536 PECOS PAC ID: 9931542354 Enrollment ID: I20240213000978 |
The Hope Company, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10031 Old Ocean City Blvd Ste 201, Berlin, MD 21811 Phone: 410-656-3139 | |
Worcester Youth And Family Counseling Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 124 N Main St Ste C, Berlin, MD 21811 Phone: 410-641-4598 Fax: 410-641-4696 | |
Acadia Counseling And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9954 N Main St Bldg 2, Berlin, MD 21811 Phone: 443-523-6824 | |
Jaime Coates Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 378 Schooner Ln, Berlin, MD 21811 Phone: 443-783-3523 | |
Lighthouse Counseling Christian Ministry, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 Franklin Ave Ste 403, Berlin, MD 21811 Phone: 410-973-2211 Fax: 443-782-0350 | |
Worcester County Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185 | |
Salty Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10610 Siren Ln, Berlin, MD 21811 Phone: 443-614-2281 |