Active NPI
Changing Tides Wellness LLC
- Clinical Social Worker
- Plymouth, MA
National Provider Identifier
1346157633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CHANGING TIDES WELLNESS LLC
- Practice address
- 225 Water St Ste A150
Plymouth, MA 02360-4078 - Phone
- (508) 564-2151
- NPI assigned
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Madge, LICSW
- Title
- Owner
- Phone
- (508) 564-2151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
225 Water St Ste A150
Plymouth, MA 02360-4078
Mailing address
225 Water St Ste A150
Plymouth, MA 02360-4078
Phone (508) 564-2151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1346157633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WATER ST STE A150",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604078",
"telephone_number": "508-564-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 WATER ST STE A150",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604078",
"telephone_number": "508-564-2151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING TIDES WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "MADGE",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-564-2151",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.