Provider Demographics
NPI:1588923999
Name:COMPTON, ELISABETH NOLAN (LICSW)
Entity type:Individual
Prefix:MISS
First Name:ELISABETH
Middle Name:NOLAN
Last Name:COMPTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 SOUTHWICK ROAD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085
Mailing Address - Country:US
Mailing Address - Phone:413-562-5256
Mailing Address - Fax:413-568-4757
Practice Address - Street 1:477 SOUTHWICK ROAD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085
Practice Address - Country:US
Practice Address - Phone:413-562-5256
Practice Address - Fax:413-568-4757
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1261621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical