SEASIDE COUNSELING SERVICES, PLLC (NPI# 1265888119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265888119 |
| Entity Type | Organization |
| Organization Name | SEASIDE COUNSELING SERVICES, PLLC |
| Practice Address |
1328 Lake Park Blvd N Suite 109 Carolina Beach NC 28428-3935 |
| Practice Telephone | 9106320994 |
| Practice Fax Number | 9104584824 |
| Mailing Telephone | 9106320994 |
| Mailing Fax Number | 9104584824 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | MS. JESSICA HADLEY MANNING (OWNER) |
| Authorized Official Telephone | 9102313265 |
| Authorized Official Credential | LCSW, LCAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1189 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C006265 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1328 LAKE PARK BLVD N SUITE 109 |
| City | CAROLINA BEACH |
| State | NC |
| Zip Code | 28428-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740395029 | Damian Brezinski | Internal Medicine | 1328 Lake Park Blvd N, Ste 103, Carolina Beach, NC 28428-3906 | 2006-08-20 |
| 1154841260 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1328 Lake Park Blvd N, Carolina Beach, NC 28428-3935 | 2017-06-21 |
| 1366891905 | Loralie Grigas Msw Lcsw Lcas Pllc | Social Worker | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428-3935 | 2016-06-05 |
| 1477909778 | Island Cardiology, Pllc | Internal Medicine | 1328 Lake Park Blvd N, Suite 103, Carolina Beach, NC 28428-3935 | 2016-05-05 |
| 1033557665 | Carolina Beach Counseling, LLC | Psychiatry & Neurology | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428 | 2013-06-05 |
| 1558679639 | Loralie Grigas | Social Worker | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428-3935 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235682022 | Pleasure Island Health | Nurse Practitioner | 1328 North Lake Park Blvd Ste 102, Carolina Beach, NC 28428 | 2016-07-27 |
| 1497151625 | Brianna Noelle Walter | Counselor | 1328 Lake Park Blvd N Ste 109, Carolina Beach, NC 28428 | 2014-11-17 |
| 1003061045 | John B Callahan | Counselor | 100 Eighth St N, Carolina Beach, NC 28428 | 2008-11-18 |
| 1649365099 | Amanda Dixon Cerqueira | Dentist | 1328 N. Lake Blvd, Suite 107, Carolina Beach, NC 28428 | 2006-10-03 |
| 1104929884 | North Carolina Cvs Pharmacy LLC | Pharmacy | 901 Dow Rd, Carolina Beach, NC 28428 | 2006-09-07 |
| 1184635302 | Vincent Robert Smith | Dentist | 1300 Bridge Barrier Rd, Carolina Beach, NC 28428 | 2006-08-11 |
| 1972029320 | Kaitlin Sledge Maertz | Speech-Language Pathologist | 105 Florida Ave, Carolina Beach, NC 28428 | 2017-08-17 |
| 1720253784 | Wilmington Health Pllc | Specialist | 1300 Bridge Barrier Rd, Suite 2, Carolina Beach, NC 28428 | 2008-04-29 |
| 1639776362 | Olga O Orraca | Acupuncturist | 1328 Lake Park Blvd N Ste 106b, Carolina Beach, NC 28428-3906 | 2020-10-06 |
| 1063052561 | Donald Russel Crawford Iv | Nurse Practitioner | 1328 Lake Park Blvd N Ste 102, Carolina Beach, NC 28428-3906 | 2020-01-13 |
| Find all providers in zip 28428 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952469520 | Jane E. Albers | Social Worker | 504 S 7th St, Carolina Beach, NC 28428-4519 | 2006-12-05 |
| 1366891905 | Loralie Grigas Msw Lcsw Lcas Pllc | Social Worker | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428-3935 | 2016-06-05 |
| 1558679639 | Loralie Grigas | Social Worker | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428-3935 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | CAROLINA BEACH |
| Zip Code | 28428 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.