Bright Side of Change Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW16503 Issued in AZ

Legal business name

BRIGHT SIDE OF CHANGE INC

Practice address

29 W Calle Tierra Sandia
Sahuarita, AZ 85629-9034

Phone

(520) 727-1661

NPI assigned

Aug 11, 2017

Organization subpart

No

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

Authorized official

Name

Nicole Peterson

Title

Biller

Phone

(520) 441-4754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1023533940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 W CALLE JOCOBO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411830",
            "telephone_number": "520-373-7111",
            "fax_number": "520-328-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W CALLE TIERRA SANDIA",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856299034",
            "telephone_number": "520-727-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIDE OF CHANGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "520-441-4754"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW16503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Veronica Borbon, FNP-BC
• Nathan M Bowser, RN
• Jonathan Boyd, DO
• Cheryl Branum, RPH
• Patricia Lynne Brasher
• Malia Brudvik, MS, ATC, LAT, CSCS
• Kathy Ann Bryte, OTR
• Amaranta Amatista Campos, LMT
• Caring Hearts of Sahuarita
• Angela Carlisle

• Clinical Social Worker in Sahuarita, AZ
• Providers in Sahuarita, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.