Waves of Change, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094168 Issued in MI

Legal business name

WAVES OF CHANGE, LLC

Practice address

2017 4TH St
Jackson, MI 49203-4572

Phone

(517) 581-4886

Fax

(517) 905-6046

NPI assigned

Jul 7, 2016

Organization subpart

No

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

Authorized official

Name

Amber Joy Norwood, LMSWNPI 1073956710

Title

Owner, Therapist

Phone

(517) 581-4886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Joy Norwood, LMSW

  • Social Worker
  • Jackson, MI
  • NPI 1073956710
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer J Fitch, LMSW

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1417335076
  Medicare reassignment Care Compare group NPD
• Meaghan Suzanne Bryant, LLMSW

  • Social Worker
  • Jackson, MI
  • NPI 1184597783
  NPD (past)
• Patricia Dekarske, LLMSW

  • Social Worker
  • Jackson, MI
  • NPI 1003664939
  NPD (past)
• Jessica Haarer, MSW

  • Social Worker
  • Hillsdale, MI
  • NPI 1588198584
  NPD (past)
• Jennifer Houston, MA, LLPC

  • Mental Health Counselor
  • Jackson, MI
  • NPI 1659784981
  NPD (past)
• Cynthia Joan Malloch, LLPC

  • Professional Counselor
  • Jackson, MI
  • NPI 1639354723
  NPD (past)
• Sharon Mayotte

  • Clinical Social Worker
  • Durham, NC
  • NPI 1952706954
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1194177675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 KING RD",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839777",
            "telephone_number": "517-581-4886",
            "fax_number": "517-905-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034572",
            "telephone_number": "517-581-4886",
            "fax_number": "517-905-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "NORWOOD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "517-581-4886",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Watson, RN
• Jerry Lee Watson III
• Kaydence Watson
• Glenn Richard Watterson, DDS
• Scott A Watterson, DDS
• Alexis C Weaks, PHARMD
• Jacob Michael Weaks, PHARMD, R.PH.
• Weatherwax Family Pharmacies Inc
• Kimberly D Weaver, PSY.D
• Clarissa Webb

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.