Culturally Competent Compassionate Counseling LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0770581R

Legal business name

CULTURALLY COMPETENT COMPASSIONATE COUNSELING LCSW PLLC

Practice address

2504 Richmond Rd
Staten Island, NY 10306-2365

Phone

(917) 613-4009

Fax

(917) 397-9042

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Williams-Jenkins, LCSW

Title

Licensed Clinical Social Worker

Phone

(917) 613-4009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Denise Williams-Jenkins, LCSWR,CASAC,CRC,MSED

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1184891897
  Medicare reassignment NPD
• Janette Rosalia Ramos-Acosta, PH.D.

  • Clinical Psychologist
  • Staten Island, NY
  • NPI 1033380076
  NPD (past)
• Stephen Jeffrey Wakschal, PHD

  • Psychologist
  • Staten Island, NY
  • NPI 1033265806
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1669805602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062365",
            "telephone_number": "917-613-4009",
            "fax_number": "917-397-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062365",
            "telephone_number": "917-613-4009",
            "fax_number": "917-397-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURALLY COMPETENT COMPASSIONATE COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-JENKINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "917-613-4009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "0770581R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Hughes Culley, M.D.
• Alfred Culliford, MD
• Deanna Angel Culotta, OTR
• Debbie Ann Culotta, RN
• Stephanie Maria Culotta
• Jennifer Cumberbatch
• Catherine Cumming, NA
• Elizabeth Cummings, REGISTERED NURSE
• Linda T. Cummings, CCC-SLP
• Karess Cummins

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, 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 Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.