Organization Active NPI

See 1 Change, LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1366143547
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEE 1 CHANGE, LLC
Practice address
1111 E 54TH St Ste 105
Indianapolis, IN 46220-3580
Phone
(317) 695-9816
NPI assigned
Mar 14, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Alan ArchibaldNPI 1275692741
Title
Ceo
Phone
(317) 695-9816

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 Worker 1041C0700X Primary

Addresses

Primary practice location

1111 E 54TH St Ste 105
Indianapolis, IN 46220-3580

Mailing address

1111 E 54TH St Ste 105
Indianapolis, IN 46220-3580
Phone (317) 695-9816

National Provider Directory

National Provider Directory

Locations

1111 E 54th St
Ste 105
Indianapolis, IN 46220
Phone (317) 695-9816

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1366143547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E 54TH ST STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203580",
            "telephone_number": "317-695-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E 54TH ST STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203580",
            "telephone_number": "317-695-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEE 1 CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-695-9816"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.