Changing Tides Counseling and Coaching Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009123 Issued in NC

Legal business name

CHANGING TIDES COUNSELING AND COACHING SERVICES

Practice address

3807 Wrightsville Ave
Wilmington, NC 28403-8441

Phone

(910) 398-2972

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer B Morin, LCSW

Title

Sole Member

Phone

(910) 398-2972

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1447638754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NORTH 7TH STREET",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284019057",
            "telephone_number": "910-398-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038441",
            "telephone_number": "910-398-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING TIDES COUNSELING AND COACHING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "910-398-2972",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gowri Chandrashekar, MD
• Tiyana Kia Chaney-Taylor, PHD, LCSW, BC-TMH
• Change the Game Performance Therapy, Inc.
• Ami Mitulkumar Changela, DO
• Changing Minds PLLC
• Bruce Manning Chapman, D.P.M.
• Daniel Chapman, DDS
• Lisa Ann Chapman, RPH
• Katherine Marie Chappell, LCSWA
• Charis Counseling Services, PLLC

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.