Provider Demographics
NPI:1063003408
Name:COMPASSIONATE CARE COUNSELING
Entity Type:Organization
Organization Name:COMPASSIONATE CARE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:ANNE SMITH
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MS
Authorized Official - Phone:302-536-9317
Mailing Address - Street 1:9707 NANTICOKE CIR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-8641
Mailing Address - Country:US
Mailing Address - Phone:302-236-9127
Mailing Address - Fax:302-990-5376
Practice Address - Street 1:9707 NANTICOKE CIR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-8641
Practice Address - Country:US
Practice Address - Phone:302-536-9317
Practice Address - Fax:302-990-5376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1700323276Medicaid