Center for Change,Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2915 Issued in LA

Legal business name

CENTER FOR CHANGE,INC

Practice address

12A Westbank Expy
Ste 205
Gretna, LA 70053-3659

Phone

(504) 362-5122

Fax

(504) 362-5163

NPI assigned

Jan 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Deanna R Miles, LCSWNPI 1750448882

Title

President

Phone

(504) 362-5122

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanna Riley Miles, LCSW

  • Clinical Social Worker
  • Gretna, LA
  • NPI 1750448882
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003973132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12A WESTBANK EXPY",
            "address_2": "STE 205",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533659",
            "telephone_number": "504-362-5122",
            "fax_number": "504-362-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12A WESTBANK EXPY",
            "address_2": "STE 205",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533659",
            "telephone_number": "504-362-5122",
            "fax_number": "504-362-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHANGE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-362-5122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Gretna, LA
• Providers in Gretna, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.