Organization Active NPI

Systems Change Therapy

  • Clinical Social Worker
  • Riverview, FL
National Provider Identifier
1174428304
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SYSTEMS CHANGE THERAPY
Practice address
10412 Boyette Creek Blvd
Riverview, FL 33569-2703
Phone
(813) 359-9664
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Ms. Sparkle Cosich, LCSW
Title
Owner
Phone
(719) 238-2338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

10412 Boyette Creek Blvd
Riverview, FL 33569-2703

Mailing address

10412 Boyette Creek Blvd
Riverview, FL 33569-2703
Phone (813) 359-9664

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1174428304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 BOYETTE CREEK BLVD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692703",
            "telephone_number": "813-359-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 BOYETTE CREEK BLVD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692703",
            "telephone_number": "813-359-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEMS CHANGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "COSICH",
        "authorized_official_first_name": "SPARKLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-238-2338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.