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CATALYST FOR CHANGE NPI 1871180752


NPI Information

NPI: 1871180752
Provider Name: CATALYST FOR CHANGE
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
5151 MONROE ST STE 200
TOLEDO, OH
ZIP 43623
Phone: (567) 455-1401
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CATALYST FOR CHANGE is a clinical social worker in Toledo, OH. 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. CATALYST FOR CHANGE NPI is 1871180752. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5151 MONROE ST STE 200
TOLEDO, OH
ZIP 43623-466
Phone: (567) 455-1401

The provider's authorized official is Kesha Jackson .
The authorized official title is Social Worker/mh Clinician and has the following contact phone number (419) 807-8185.

The enumeration date for this NPI number is 12/28/2020 and was last updated on 4/12/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes
2251S00000XCommunity/Behavioral HealthNo

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: 4/28/2024

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