NPIMap

Organization Active NPI

Changing Tides Therapeutic & Consultative Services, LLC

  • Clinical Social Worker
  • Elkton, MD
National Provider Identifier
1609518869
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHANGING TIDES THERAPEUTIC & CONSULTATIVE SERVICES, LLC
Practice address
136 W Main St
Elkton, MD 21921-5541
Phone
(443) 350-5565
NPI assigned
Apr 8, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Letha Moszer, LCSW
Title
Provider
Phone
(410) 996-4878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

136 W Main St
Elkton, MD 21921-5541

Mailing address

PO Box 2018
Elkton, MD 21922-2018
Phone (410) 996-4878

National Provider Directory

National Provider Directory

Locations

2525 Augustine Herman Hwy
Ste E
Chesapeake City, MD 21915
Phone (443) 845-7165

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1609518869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2018",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219222018",
            "telephone_number": "410-996-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215541",
            "telephone_number": "443-350-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING TIDES THERAPEUTIC & CONSULTATIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "MOSZER",
        "authorized_official_first_name": "LETHA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "410-996-4878",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.