Source for Change Counseling

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SOURCE FOR CHANGE COUNSELING

Practice address

2909 Crescent Ave
Birmingham, AL 35209-2521

Phone

(205) 585-8761

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Dana Smallwood

Title

Owner

Phone

(205) 585-8761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1558799205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 WINE RIDGE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352442426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 CRESCENT AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092521",
            "telephone_number": "205-585-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE FOR CHANGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "SMALLWOOD",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-585-8761"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.