NPI 1396379111 · live from the CMS NPI Registry
A Change Will Come Counseling Services, LLC
Social Worker, Clinical in Catonsville, MD. National Provider Identifier 1396379111, active.
NPI record
| NPI | 1396379111 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 516 N Rolling Rd Ste 305, Catonsville, MD 21228 |
| Practice phone | 443-272-5987 |
| Enumerated | March 2, 2020 |
| Last updated | March 2, 2020 |
| Authorized official | Nicole Jackson, Clinical Social Worker |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.