Organization Active NPI

Crosswalk to Change, LLC

  • Clinical Social Worker
  • Grantsville, MD
National Provider Identifier
1245656776
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16149 Issued in MD
Legal business name
CROSSWALK TO CHANGE, LLC
Practice address
12676 National Pike
Grantsville, MD 21536-3320
Phone
(301) 895-8087
Fax
(301) 895-8097
NPI assigned
Mar 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Mrs. Vicky Lynn Zang, LCSW-CNPI 1891000618
Title
President
Phone
(301) 895-8087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 16149 MD Primary

Addresses

Primary practice location

12676 National Pike
Grantsville, MD 21536-3320

Mailing address

12676 National Pike
Grantsville, MD 21536-3320
Phone (301) 895-8087

National Provider Directory

National Provider Directory

Locations

12676 National Pike
Grantsville, MD 21536
Phone (301) 895-8087

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1245656776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12676 NATIONAL PIKE",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215363320",
            "telephone_number": "301-895-8087",
            "fax_number": "301-895-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12676 NATIONAL PIKE",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215363320",
            "telephone_number": "301-895-8087",
            "fax_number": "301-895-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWALK TO CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "ZANG",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-895-8087",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, MD

Sources for this page

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

Verify at the official NPI Registry.