| Culturally Competent Compassionate Counseling Lcsw Pllc | |
|
2504 Richmond Rd Staten Island NY 10306-2365 | |
| (917) 613-4009 | |
| (917) 397-9042 |
| Full Name | Culturally Competent Compassionate Counseling Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2504 Richmond Rd, Staten Island, New York |
| Authorized Official Name and Position | Kimberly Williams-jenkins (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9176134009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Culturally Competent Compassionate Counseling Lcsw Pllc 2504 Richmond Rd Staten Island NY 10306-2365 Ph: (917) 613-4009 | Culturally Competent Compassionate Counseling Lcsw Pllc 2504 Richmond Rd Staten Island NY 10306-2365 Ph: (917) 613-4009 |
| NPI Number | 1669805602 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 08/13/2013 |
| Medicare PECOS PAC ID | 6709017882 |
|---|---|
| Medicare Enrollment ID | O20140403000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669805602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0770581R (* (Not Available)) | Primary |
| Provider Name | Kim D Williams-jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184891897 PECOS PAC ID: 0446394332 Enrollment ID: I20100216000286 |
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