Ready for Change Therapeutic Interventions PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

READY FOR CHANGE THERAPEUTIC INTERVENTIONS PLLC

Practice address

12 Cornwall Rd
Warren, CT 06754-1715

Phone

(888) 732-8471

Fax

(877) 207-3345

NPI assigned

Mar 7, 2022

Last updated

Mar 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sherelle Foster, LCSWNPI 1396128252

Title

Social Worker Clinical/Owner

Phone

(888) 732-8471

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, and the practitioner matching its NPPES authorized official.

• Sherelle Foster

  • Clinical Social Worker
  • Durham, NC
  • NPI 1396128252
  NPD Authorized official

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1396492633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 CORBETT RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CORNWALL RD",
            "city": "WARREN",
            "state": "CT",
            "postal_code": "067541715",
            "telephone_number": "888-732-8471",
            "fax_number": "877-207-3345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Court Sq",
            "address_purpose": "LOCATION",
            "city": "Yanceyville",
            "state": "NC",
            "postal_code": "273798005",
            "country_code": "US",
            "telephone_number": "888-732-8471",
            "fax_number": "877-207-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "READY FOR CHANGE THERAPEUTIC INTERVENTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SHERELLE",
        "authorized_official_title_or_position": "SOCIAL WORKER CLINICAL/OWNER",
        "authorized_official_telephone_number": "888-732-8471",
        "authorized_official_name_prefix": "Ms.",
        "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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• Elizabeth Tanner-Horn, LCSW
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• The Warren Volunteer Fire Company Incorporated

• Clinical Social Worker in Warren, CT
• Providers in Warren, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.