Center of Change

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8724 Issued in SC

Legal business name

CENTER OF CHANGE

Practice address

2039 W Dekalb St
Building 1, Suite 2
Camden, SC 29020-2092

Phone

(803) 432-5200

Fax

(803) 432-5199

NPI assigned

Nov 13, 2006

Last updated

Jun 11, 2008By 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. Nancy Jenerette Hornsby, MS, LBSW

Title

Owner

Phone

(803) 432-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1417028374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 W DEKALB ST",
            "address_2": "BUILDING 1, SUITE 2",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290202092",
            "telephone_number": "803-432-5200",
            "fax_number": "803-432-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 W DEKALB ST",
            "address_2": "BUILDING 1, SUITE 2",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290202092",
            "telephone_number": "803-432-5200",
            "fax_number": "803-432-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "HORNSBY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JENERETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-432-5200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LBSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4217",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Crystal Jean Carraway, LCSW
• Raven Simone Carraway
• Kenneth W. Carson, DDS, PA
• Christopher Thomas Catalano, BA
• Christina Charles, LPC-A
• Amber Kristina Cheek, M.S.P., CCC-SLP
• Christopher S Chewning, MD
• Mark Anthony Childs
• David P. Christenberry, MD

• Clinical Social Worker in Camden, SC
• Providers in Camden, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.