Organization Active NPI

Ready for Change PLLC

  • Social Worker
  • Flint, MI
National Provider Identifier
1639880461
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
READY FOR CHANGE PLLC
Practice address
3168 Coralene Dr
Flint, MI 48504-1212
Phone
(810) 449-3247
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Megan McClain
Title
Office Manager
Phone
(248) 249-1520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3168 Coralene Dr
Flint, MI 48504-1212

Mailing address

3168 Coralene Dr
Flint, MI 48504-1212

Other identifiers 1

IdentifierTypeStateIssuer
6801108284OtherMILICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SIMPLEPRACTICE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1639880461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3168 CORALENE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3168 CORALENE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041212",
            "telephone_number": "810-449-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY FOR CHANGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-249-1520"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6801108284",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SIMPLEPRACTICE",
            "affiliation": "N",
            "endpointDescription": "ONLINETOOL",
            "address_1": "3168 Coralene Dr",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485041212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

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