Tara Leigh Webster (NPI# 1407151806, PAC ID# 3779881040) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1407151806 |
| PAC ID by PECOS | 3779881040 |
| Professional Enrollment ID | I20160420000429 |
| Full Name | Tara Leigh Webster |
| Organization Legal Name | SEASIDE COUNSELING AND WELLNESS CENTER, LLC |
| Address |
10776 Grays Corner Rd Unit 2 Berlin MD 21811-3561 |
| Phone Number | 4102137875 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2961648142 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 | 4102137875 | SEASIDE COUNSELING AND WELLNESS CENTER, LLC |
| 11809 Ocean Gtwy, Suite 2, Ocean City, MD 21842-9541 | 4102137875 | SEASIDE COUNSELING AND WELLNESS CENTER, LLC |
| Organization Legal Name | SEASIDE COUNSELING AND WELLNESS CENTER, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Kaul-black | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Jessica M Hagy | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Debra A Dotson | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Amy P Ginnavan | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Amanda B Hopkins | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Street Address |
10776 GRAYS CORNER RD UNIT 2 |
| City | BERLIN |
| State | MD |
| Zip | 21811-3561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Kaul-black | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Jessica M Hagy | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Debra A Dotson | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Amy P Ginnavan | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Amanda B Hopkins | Clinical Social Worker | Seaside Counseling and Wellness Center, LLC | 10776 Grays Corner Rd, Unit 2, Berlin, MD 21811-3561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynne T Conboy | Clinical Social Worker | 29 Broad St, Unit A, Berlin, MD 21811-1052 | |
| Jennifer C Leggour | Psychologist, Clinical | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
| Kelly M Beeseck | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
| Erin K Sullivan | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
| Ivy L Sheffler Oidick | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
| Catherine M Oneill | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
| Anthony John Kirtsos Jr. | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
| Jill H Benson | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Berlin, MD 21811-1062 |
| Cheryl L Torpey | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
| Sandra Gassant | Nurse Practitioner | Corelife of Delmarva LLC | 9954 N Main St, Unit 3, Berlin, MD 21811-1076 |
| Find all physicians in zip 21811 | |||
| City | BERLIN |
| Zip Code | 21811 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BERLIN + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.