Center for Creative Change, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34002187 Issued in IN

Legal business name

CENTER FOR CREATIVE CHANGE, INC.

Practice address

100 Northland St
Fishers, IN 46038-1147

Phone

(317) 845-5133

Fax

(317) 845-5133

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kay Mattingly Langlois, LCSW, LMFT

Title

President

Phone

(317) 845-5133

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1437209681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTHLAND ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381147",
            "telephone_number": "317-845-5133",
            "fax_number": "317-845-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTHLAND ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381147",
            "telephone_number": "317-845-5133",
            "fax_number": "317-845-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CREATIVE CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "LANGLOIS",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "MATTINGLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-845-5133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Fishers, IN
• Providers in Fishers, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.