National Provider Identifier

Compass Rose Health Lcsw, PLLC

Compass Rose Health Lcsw, PLLC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 419-7019.

NPI 1619624756Rochester, NYClinical Social Worker

Profile Overview

NPI
1619624756
Provider Type
Organization
Primary Specialty
Clinical Social Worker
Enumeration Date
March 08, 2022
Last Updated
March 08, 2022

Practice Location

  • 284 Weyl St
  • Rochester, NY 14621-3620

Phone: (585) 419-7019

Mailing Address

  • 2604 Elmwood Ave Ste 299
  • Rochester, NY 14618-2213

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1619624756
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Compass Rose Health Lcsw, PLLC
Mailing Street Address
2604 Elmwood Ave Ste 299
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-2213
Mailing Country
US
Mailing Phone
(585) 419-7019
Mailing Fax
(585) 627-0792
Practice Street Address
284 Weyl St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3620
Practice Country
US
Practice Phone
(585) 419-7019
Enumeration Date
March 08, 2022
Last Updated
March 08, 2022
Authorized Official Last Name
Davis
Authorized Official First Name
Naomi
Authorized Official Middle Name
Douglas
Authorized Official Title
Lead Clinician
Authorized Official Phone
(585) 419-7019
Organization Subpart
No
Authorized Official Credential Text
LCSW-R
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
March 08, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
02876644 (NY)