Provider Demographics
NPI:1679214191
Name:COMPASSIONATE COUNSELING, LCSW, PLLC
Entity Type:Organization
Organization Name:COMPASSIONATE COUNSELING, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFARTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-253-0225
Mailing Address - Street 1:3770 VERLEYE ST
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2517
Mailing Address - Country:US
Mailing Address - Phone:516-253-0225
Mailing Address - Fax:
Practice Address - Street 1:3770 VERLEYE ST
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2517
Practice Address - Country:US
Practice Address - Phone:516-253-0225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty