Organization · Type 2 NPI

The Center for Change LLC

Clinical Social Worker · Las Vegas, NV

NPI number 1164083515 Active

Practice location

4535 W Russell Rd Ste 15
Las Vegas, NV 89118-2258

Call (702) 368-2380 Map

Fax (702) 368-2316

Other practice locations

7220 S Cimarron Rd Ste 210, Las Vegas, NV 89113-2102 · (702) 368-2380

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	None listed
Psychiatry Physician	2084P0800X	None listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

4 other providers at this address

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NPI record

NPI: 1164083515
Entity type: Organization (Type 2)
Issued: Jun 26, 2019
Last updated: May 5, 2021
Status: Active
Subpart: Yes of The Center for Change Llc.

Other names

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Center for Change · doing business as
Center for Change · doing business as

Authorized official

Morgan Lee
Representative
(702) 368-2380

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About NPI 1164083515

The Center for Change LLC's National Provider Identifier is 1164083515, issued on Jun 26, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Las Vegas, NV. The record was last updated on May 5, 2021.