Provider Demographics
NPI:1831847151
Name:CARE COUNSELING LCSW PLLC
Entity type:Organization
Organization Name:CARE COUNSELING LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAWA
Authorized Official - Middle Name:UMU
Authorized Official - Last Name:JALLOH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, M-CASAC
Authorized Official - Phone:914-318-4686
Mailing Address - Street 1:126 BUENA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-3547
Mailing Address - Country:US
Mailing Address - Phone:914-318-4686
Mailing Address - Fax:
Practice Address - Street 1:126 BUENA VISTA AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3547
Practice Address - Country:US
Practice Address - Phone:914-318-4686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty