Creating Change, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC055649300 Issued in NJ

Legal business name

CREATING CHANGE, LLC

Practice address

181 Howard Blvd Ste J
Mount Arlington, NJ 07856-2314

Phone

(862) 803-9262

NPI assigned

Dec 11, 2017

Last updated

Aug 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria M Correa, LCSWNPI 1912251455

Title

Ceo

Phone

(862) 803-9262

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria M Correa, MSW, LCSW

  • Clinical Social Worker
  • Mount Arlington, NJ
  • NPI 1912251455
  Authorized official Same address or phone
• Erin Christina Leyden, LSW

  • Clinical Social Worker
  • Mount Arlington, NJ
  • NPI 1922979822
  NPD (past)
• Michael John Scarneo Jr., PT, DPT

  • Physical Therapist
  • Mount Arlington, NJ
  • NPI 1174926398
  NPD (past)

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1588179725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAPLE LN",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561388",
            "telephone_number": "973-703-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 HOWARD BLVD STE J",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078562314",
            "telephone_number": "862-803-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-803-9262",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC055649300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emanuel Dominic Catania, D.M.D.
• Michael Celeste
• Contour Medical Supply Inc (Rotech)
• Gloria M Correa, MSW, LCSW
• Creating Change Counseling Center
• Kristen Czerepusko, OTR/L
• Robert L. Daniels, D.D.S.
• Paul Depinto, LPC
• Barbara Anne Dillon, OD
• Jocelyn Blais Drukker, LPC

• Clinical Social Worker in Mount Arlington, NJ
• Providers in Mount Arlington, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.