TIDES OF CHANGE NPI 1811273568

NPI Information

  • NPI: 1811273568
  • Provider Name: TIDES OF CHANGE
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 333 W WILCOX DR
    STE. 303
    SIERRA VISTA, AZ
    ZIP 85635
  • Phone: (520) 458-2250

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NPI Details

TIDES OF CHANGE is a clinical social worker in Sierra Vista, AZ. 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. TIDES OF CHANGE NPI is 1811273568. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

333 W WILCOX DR
STE. 303
SIERRA VISTA, AZ
ZIP 85635-789
Phone: (520) 458-2250
Fax: (520) 458-2269

The provider's authorized official is Marianne S Valladares .
The authorized official title is Ceo/partner and has the following contact phone number (520) 458-2250.

The enumeration date for this NPI number is 10/26/2011 and was last updated on 10/26/2011.

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
1101Y00000XCounselorLPC12687ARIZONANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LISAC10504ARIZONANo
31041C0700XSocial WorkerClinicalLMSWARIZONANo
41041C0700XSocial WorkerClinicalLCSW12394ARIZONANo
51041C0700XSocial WorkerClinicalLCSW2922No
61041C0700XSocial WorkerClinicalLCSW2811ARIZONANo
71041C0700XSocial WorkerClinicalLCSW10948ARIZONAYes

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: 11/21/2025

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