# COMPASSIONATE CARE COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356805329
- **Authorized official:** DEBRA TUCKER DERAGON LICSW (MEMBER)
- **Authorized official phone:** (401) 419-6175

## Contact information

- **Practice address:** 1525 OLD LOUISQUISSET PIKE STE 203, LINCOLN, RI 02865-4503
- **Practice address phone:** (401) 660-0463
- **Mailing address:** 69 BAIRD AVE, NORTH PROVIDENCE, RI 02904-3642
- **Mailing address phone:** (401) 660-0463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2019
- **Last updated:** 02/04/2019