Provider Demographics
NPI:1679203350
Name:COMPASSIONATE PSYCHOTHERAPY SERVICES LCSW PLLC
Entity Type:Organization
Organization Name:COMPASSIONATE PSYCHOTHERAPY SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:KARINA
Authorized Official - Last Name:LOPEZ-GALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-231-4911
Mailing Address - Street 1:96 SCHERMERHORN ST APT 4C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5087
Mailing Address - Country:US
Mailing Address - Phone:917-231-4911
Mailing Address - Fax:866-383-8881
Practice Address - Street 1:32 COURT ST STE 1901
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4421
Practice Address - Country:US
Practice Address - Phone:917-231-4911
Practice Address - Fax:866-383-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP058218OtherLICENSE NUMBER
NY02436368Medicaid