CENTER FOR CONSCIOUS CHANGE PLLC NPI 1649761974

NPI Information

  • NPI: 1649761974
  • Provider Name: CENTER FOR CONSCIOUS CHANGE PLLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 900 COPPERFIELD BLVD NE
    CONCORD, NC
    ZIP 28025
  • Phone: (704) 729-4767

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NPI Details

CENTER FOR CONSCIOUS CHANGE PLLC is a clinical social worker in Concord, NC. 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 CONSCIOUS CHANGE PLLC NPI is 1649761974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 COPPERFIELD BLVD NE
CONCORD, NC
ZIP 28025-433
Phone: (704) 729-4767

The provider's authorized official is Debra Neisler .
The authorized official title is Director and has the following contact phone number (919) 368-3684.

The enumeration date for this NPI number is 5/22/2018 and was last updated on 5/22/2018.

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 WorkerClinicalC006216NORTH CAROLINAYes

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
11689728784OTHERBLUE CROSS BLUE SHIELD
26007227OTHERAETNA
3977827OTHERBEACON HEALTH
46007170MEDICAIDNORTH CAROLINA

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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