Commodore Educational Consulting and Counseling Institute, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMMODORE EDUCATIONAL CONSULTING AND COUNSELING INSTITUTE, LLC

Practice address

4029 McGee Rd
Coward, SC 29530-5232

Phone

(843) 307-9566

NPI assigned

Sep 8, 2025

Organization subpart

No

Name

Dr. Yvonne Adassa Commodore, LISW-CPNPI 1063835445

Title

Owner/Ceo

Phone

(803) 321-6657

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

• Yvonne Adassa Commodore, ED.D., ED.S., LISW-C

  • Clinical Social Worker
  • Coward, SC
  • NPI 1063835445

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2025.

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1801777933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295600062",
            "telephone_number": "843-307-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 MCGEE RD",
            "city": "COWARD",
            "state": "SC",
            "postal_code": "295305232",
            "telephone_number": "843-307-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMODORE EDUCATIONAL CONSULTING AND COUNSELING INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "COMMODORE",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "ADASSA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "803-321-6657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biospine Health and Welness, LLC
• Harry Dontrell Burgess Jr.
• Yvonne Adassa Commodore, ED.D., ED.S., LISW-C
• Sherye Epps
• Geraldine Annette Williamson, BSN

• All providers in Coward, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.