Waves of Change Coalition LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WAVES OF CHANGE COALITION LLC

Practice address

2380 Liberty Way
Virginia Beach, VA 23456-3466

Phone

(757) 773-2102

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Carlan Jones, LCSWNPI 1710752027

Title

Owner/Manager

Phone

(757) 773-2102

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlan Jones, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1710752027
  NPD Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1508605940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 HYDE PARK RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235035513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 LIBERTY WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563466",
            "telephone_number": "757-773-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF CHANGE COALITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARLAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "757-773-2102",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Mariana Watton
• Lindsey Morrone Watts
• Shaqirra Watts
• Xavier Watts
• Wave of Life Chiropractic Center
• Waves Psychotherapy Services PC
• Joshua Alex Waxenbaum, DO
• Gary Jay Waxman, M.D.
• Javier Jimill Way, PMHNP-BC
• WCCB

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.