Healthcare Provider Details

I. General information

NPI: 1356925648
Provider Name (Legal Business Name): COMPASS WELLNESS ASSOCIATES, LCSWS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 DAVIS AVE
POUGHKEEPSIE NY
12603-2408
US

IV. Provider business mailing address

24 DAVIS AVE
POUGHKEEPSIE NY
12603-2408
US

V. Phone/Fax

Practice location:
  • Phone: 845-605-2999
  • Fax:
Mailing address:
  • Phone: 845-605-2999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MORGEN C. RAPPA
Title or Position: OWNER/CLINICIAN
Credential: LCSW
Phone: 845-527-6344