Organization Active NPI

Choice to Change

  • Clinical Social Worker
  • Jupiter, FL
National Provider Identifier
1124449988
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10878 Issued in FL
Legal business name
CHOICE TO CHANGE
Practice address
17772 Bridle LN
Jupiter, FL 33478-4718
Phone
(561) 745-1779
Fax
(561) 745-1780
NPI assigned
Dec 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Lynn Trimble
Title
President
Phone
(561) 745-1779

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH12298 FL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW10878 FL Primary

Addresses

Primary practice location

17772 Bridle LN
Jupiter, FL 33478-4718

Mailing address

17772 Bridle LN
Jupiter, FL 33478-4718
Phone (561) 745-1779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1124449988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17772 BRIDLE LN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784718",
            "telephone_number": "561-745-1779",
            "fax_number": "561-745-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17772 BRIDLE LN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784718",
            "telephone_number": "561-745-1779",
            "fax_number": "561-745-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE TO CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-21",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-745-1779"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12298",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.