Healthcare Provider Details

I. General information

NPI: 1982161485
Provider Name (Legal Business Name): FRANCESCA TERESA COMPAGNONE LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 02/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 PRESSTMAN ST
BALTIMORE MD
21216-4106
US

IV. Provider business mailing address

1111 ROLAND HEIGHTS AVE
BALTIMORE MD
21211-1241
US

V. Phone/Fax

Practice location:
  • Phone: 410-642-6201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16512
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: