Real Change Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REAL CHANGE THERAPY LLC

Practice address

11225 Front St
Mokena, IL 60448-1303

Phone

(815) 483-4460

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Anna AshumNPI 1417251380

Title

Owner

Phone

(815) 483-4460

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.

• Anna N Ashum, MSW, LCSW

  • Clinical Social Worker
  • Lemont, IL
  • NPI 1417251380
  NPD Authorized official

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1164180923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 LEWIS LN",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 FRONT ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481303",
            "telephone_number": "815-483-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL CHANGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "ASHUM",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-483-4460"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ranay, DO
• Dana Rangel
• Thomas B Ravetto, PT
• Ranya Razick
• Rci (WRS), LLC
• Noreen B Reaney, FNP, APN
• Gabriela Rebollar, LCSW
• Nina Reed
• Julia Regan
• Rehablink Direct Distributors

• Clinical Social Worker in Mokena, IL
• Providers in Mokena, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.