Agency of Change

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8327 Issued in FL

Legal business name

AGENCY OF CHANGE

Practice address

900 NE 18TH Ave
1207
Fort Lauderdale, FL 33304-3063

Phone

(954) 524-6861

NPI assigned

Feb 20, 2011

Last updated

Feb 20, 2011By 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. Melanie Donohue, LCSW

Title

President

Phone

(954) 465-5142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1298160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298160000000",
    "number": "1407153885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NE 18TH AVE",
            "address_2": "1207",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043063",
            "telephone_number": "954-524-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE 18TH AVE",
            "address_2": "1207",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043063",
            "telephone_number": "954-524-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENCY OF CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-20",
        "last_updated": "2011-02-20",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-465-5142",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara J. Agran, LMHC
• David Agrenot Perez

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2011; 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.