Active NPI
Ready for Change PLLC
- Social Worker
- Flint, MI
National Provider Identifier
1639880461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801108284 | Other | MI | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SIMPLEPRACTICE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Flushing, MI
- NPI 1265141600
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.