Wings of Change LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WINGS OF CHANGE LLC

Practice address

927 Sherry Dr
Riverton, WY 82501

Phone

(207) 313-9798

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Sergiusz Piokr Joskow II, LCSW

Title

Owner

Phone

(207) 313-9798

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1285311753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WINGS OF CHANGE LLC 927 SHERRY DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "82501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 SHERRY DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "82501",
            "telephone_number": "207-313-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "JOSKOW",
        "authorized_official_first_name": "SERGIUSZ",
        "authorized_official_middle_name": "PIOKR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-313-9798",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Riverton, WY
• Providers in Riverton, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.