Radical Change Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RADICAL CHANGE THERAPY

Practice address

2817 W End Ave Ste 126-463
Nashville, TN 37203-1453

Phone

(615) 502-2539

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Dylesia Hampton Barner, LCSWNPI 1699152157

Title

Ceo

Phone

(615) 502-2539

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dylesia Barner, LCSW

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1699152157
  NPD Authorized official

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1316691066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 W END AVE STE 126-463",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031453",
            "telephone_number": "615-502-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 W END AVE STE 126-463",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031453",
            "telephone_number": "615-502-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL CHANGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "BARNER",
        "authorized_official_first_name": "DYLESIA",
        "authorized_official_middle_name": "HAMPTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-502-2539",
        "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": []
}

• Beau Rader, PHARMD
• Jacob Richard Radford, M.D.
• Kelly Elizabeth Radford, PHARMD
• Will Radford
• Radiation Oncology Associates
• Radiology Alliance CT
• Radiology Alliance PC
• Radiology Alliance, PC
• Mark James Radlinski, M.D.
• Radnor Medical Group, Inc.

• Clinical Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.