CENTER FOR CHANGE & HEALING NPI 1003570565

NPI Information

  • NPI: 1003570565
  • Provider Name: CENTER FOR CHANGE & HEALING
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 11S230 S JACKSON ST STE 104
    BURR RIDGE, IL
    ZIP 60527
  • Phone: (630) 712-6042

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NPI Details

CENTER FOR CHANGE & HEALING is a clinical social worker in Burr Ridge, IL. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. CENTER FOR CHANGE & HEALING NPI is 1003570565. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11S230 S JACKSON ST STE 104
BURR RIDGE, IL
ZIP 60527-099
Phone: (630) 712-6042

The provider's authorized official is Kevin Kell .
The authorized official title is Director Of Information and has the following contact phone number (630) 849-6212.

The enumeration date for this NPI number is 10/29/2021 and was last updated on 10/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11003335076OTHERILLINOISNPI
21174883862OTHERILLINOISNPI
31598036386OTHERILLINOISNPI
41023595238OTHERILLINOISNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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