Organization Active NPI

Compassionate Care Counseling LLC

  • Clinical Social Worker
  • Lincoln, RI
National Provider Identifier
1356805329
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMPASSIONATE CARE COUNSELING LLC
Practice address
1525 Old Louisquisset Pike Ste 203
Lincoln, RI 02865-4503
Phone
(401) 660-0463
NPI assigned
Jan 24, 2019
Last updated
Feb 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Debra Tucker Deragon, LICSWNPI 1851837298
Title
Member
Phone
(401) 419-6175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1525 Old Louisquisset Pike Ste 203
Lincoln, RI 02865-4503

Mailing address

69 Baird Ave
North Providence, RI 02904-3642
Phone (401) 660-0463

National Provider Directory

National Provider Directory

Locations

1525 Old Louisquisset Pike
Ste 203
Lincoln, RI 02865
Phone (401) 660-0463

1525 Old Louisquisset Pike
Ste B104
Lincoln, RI 02865
Phone (401) 389-8412

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1356805329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BAIRD AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043642",
            "telephone_number": "401-660-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 OLD LOUISQUISSET PIKE STE 203",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654503",
            "telephone_number": "401-660-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "DERAGON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "TUCKER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "401-419-6175",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.