Organization Active NPI

Change Agents, Inc.

  • Clinical Social Worker
  • Smyrna, GA
National Provider Identifier
1356596027
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004040 Issued in GA
Legal business name
CHANGE AGENTS, INC.
Practice address
300 Village Green Cir SE
Suite 201
Smyrna, GA 30080-3476
Phone
(404) 447-2845
NPI assigned
Nov 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Mrs. Joan Tolbert Merriweather, LCSWNPI 1891940565
Title
Ceo
Phone
(404) 447-2845

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 CSW004040 GA Primary

Addresses

Primary practice location

300 Village Green Cir SE
Suite 201
Smyrna, GA 30080-3476

Mailing address

3599 Creekwood LN SW
Smyrna, GA 30082-2901
Phone (404) 447-2845

National Provider Directory

National Provider Directory

Locations

1264 Concord Rd SE
Smyrna, GA 30080
Phone (404) 447-2845

1246 Concord Rd SE
Ste B101
Smyrna, GA 30080
Phone (404) 867-8217

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": "1227312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1356596027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 CREEKWOOD LN SW",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822901",
            "telephone_number": "404-447-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VILLAGE GREEN CIR SE",
            "address_2": "SUITE 201",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803476",
            "telephone_number": "404-447-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE AGENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-22",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "MERRIWEATHER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "TOLBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-447-2845",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.