Provider Demographics
NPI:1831674324
Name:COMPARETTO, MICHAEL J (LCSW, ACT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:COMPARETTO
Suffix:
Gender:M
Credentials:LCSW, ACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 ZILLICOA ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1038
Mailing Address - Country:US
Mailing Address - Phone:845-558-4274
Mailing Address - Fax:
Practice Address - Street 1:101 STONE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804
Practice Address - Country:US
Practice Address - Phone:845-558-4274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP012855101YA0400X
NCC0119611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)