Provider Demographics
NPI:1659142305
Name:COMPASSIONATE TALK THERAPY LCSW, PLLC
Entity Type:Organization
Organization Name:COMPASSIONATE TALK THERAPY LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPOTORNO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-543-2442
Mailing Address - Street 1:21831 133RD RD FL 1
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-1622
Mailing Address - Country:US
Mailing Address - Phone:646-543-2442
Mailing Address - Fax:
Practice Address - Street 1:21831 133RD RD FL 1
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-1622
Practice Address - Country:US
Practice Address - Phone:646-543-2442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty