Active NPI
Choice to Change
- Clinical Social Worker
- Jupiter, FL
National Provider Identifier
1124449988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10878
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12298 | FL | |
| Clinical Social Worker | 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 DirectoryNPI 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.