Compadre Therapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMPADRE THERAPY LCSW PLLC

Practice address

2447 Saint Raymonds Ave
Bronx, NY 10461-3162

Phone

(929) 266-7204

Fax

(347) 897-6388

NPI assigned

Apr 22, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marcelino Guillen, LCSW

Title

Administrator/Provider

Phone

(929) 266-7204

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655596800000",
    "number": "1245893569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 SAINT RAYMONDS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613162",
            "telephone_number": "929-266-7204",
            "fax_number": "347-897-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 SAINT RAYMONDS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613162",
            "telephone_number": "929-266-7204",
            "fax_number": "347-897-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPADRE THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A",
        "authorized_official_last_name": "GUILLEN",
        "authorized_official_first_name": "MARCELINO",
        "authorized_official_title_or_position": "ADMINISTRATOR/PROVIDER",
        "authorized_official_telephone_number": "929-266-7204",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.