Provider Demographics
NPI:1467820514
Name:COMPASS SOCIAL SKILLS AND COUNSELING, LLC
Entity Type:Organization
Organization Name:COMPASS SOCIAL SKILLS AND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WNUK
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-431-8379
Mailing Address - Street 1:78 SOUTH ST STE L1
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-2119
Mailing Address - Country:US
Mailing Address - Phone:774-847-9340
Mailing Address - Fax:774-847-9626
Practice Address - Street 1:78 SOUTH ST STE L1
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-2119
Practice Address - Country:US
Practice Address - Phone:774-847-9340
Practice Address - Fax:774-847-9626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-07
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty