Organization Active NPI

Living for a Change LLC

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1245601020
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1031 Issued in WY
Legal business name
LIVING FOR A CHANGE LLC
Practice address
2045 Laramie Ave
Casper, WY 82604
Phone
(850) 274-7299
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Lisa Lynne Love, LCSW
Title
Licensed Clinical Social Worker
Phone
(850) 274-7299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 13189 FL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1031 WY Primary

Addresses

Primary practice location

2045 Laramie Ave
Casper, WY 82604

Mailing address

2045 Laramie Ave
Casper, WY 82604
Phone (850) 274-7299

National Provider Directory

National Provider Directory

Locations

8128 Front Beach Rd
Ste J
Panama City, FL 32407
Phone (850) 274-7299

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1245601020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 LARAMIE AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "850-274-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 LARAMIE AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "850-274-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FOR A CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "850-274-7299",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "13189",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.