Provider Demographics
NPI:1396293668
Name:COMPREHENSIVE CARE COUNSELING LCSW PLLC
Entity type:Organization
Organization Name:COMPREHENSIVE CARE COUNSELING LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-417-6029
Mailing Address - Street 1:7 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1733
Mailing Address - Country:US
Mailing Address - Phone:917-417-6029
Mailing Address - Fax:516-371-1045
Practice Address - Street 1:445 CENTRAL AVE
Practice Address - Street 2:SUITE 300B
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2001
Practice Address - Country:US
Practice Address - Phone:917-417-6029
Practice Address - Fax:516-371-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07949311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty