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SOUTHEAST SECOND CHANCE, INC
NPI 1932223302
Social Worker - Clinical in Brunswick, GA

Active since March 19, 2007
600 G ST STE 6, BRUNSWICK, GA 31520(912) 265-2055(912) 265-2509 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2023, Apr 14, 2020 (2 updates tracked since 2020).

About Southeast Second Chance, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST SECOND CHANCE, INC (NPI 1932223302) is a healthcare organization registered as a clinical in Brunswick, Georgia and active in the NPI registry since March 2007. The organization lists Stephanie Cruwys, Owner, as its authorized official.

NPPES Registry Identity

NPI1932223302
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUTHEAST SECOND CHANCE, INC
Location Address600 G ST STE 6Brunswick, GA 31520-6727
Mailing AddressPo Box 2727Brunswick, GA 31521-2727 · (912) 265-2055 · Fax (912) 265-2509
Phone(912) 265-2055
Fax(912) 265-2509
Organization SubpartNo
Authorized OfficialStephanie CruwysOwner · (912) 265-2055
Enumeration DateMarch 19, 2007
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
✔ NPI 1932223302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW003287
Definition
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.
600 G ST STE 6, Brunswick, GA 31520
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Other Identifiers 1

Medicaid851663137AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Second Chance, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Second Chance, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephanie Cruwys, LCSW
Clinical Social Worker
NPI 1841302247
600 G ST STE 6
Brunswick, GA 31520
(912) 265-2055
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Second Chance, Inc's NPI number?

The NPI number for Southeast Second Chance, Inc is 1932223302. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Southeast Second Chance, Inc located?

Southeast Second Chance, Inc is located at 600 G St Ste 6, Brunswick, GA 31520. The listed phone number is (912) 265-2055.

What is Southeast Second Chance, Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Southeast Second Chance, Inc enrolled in Medicare?

Yes. Southeast Second Chance, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Second Chance, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Southeast Second Chance, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast Second Chance, Inc was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.