Changing Minds LLC
Organization Active NPI Clinical Social Worker · Philo, OH
NPI 1487301388 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1487301388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CHANGING MINDS LLC
- Practice address
- 5435 Center Rd
Philo, OH 43771-9780 - Phone
- (174) 068-3834
- NPI assigned
- Mar 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Kristin A Rinehart, LISW-S
- Title
- Lisw
- Phone
- (740) 683-8348
Practitioners 1
-
Kristin A Rinehart, MSW, LISW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220826002101 | OH | Part B Supplier - Clinic/Group Practice | 1850775719 |
Receives reassigned benefits from 1 practitioner Practice locations: Philo, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
5435 Center Rd
Philo, OH 43771-9780
Mailing address
5435 Center Rd
Philo, OH 43771-9780
Phone (740) 683-8348
Other providers in Philo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.