Organization Active NPI

SFC Change PLLC

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1750118998
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SFC CHANGE PLLC
Practice address
209 Pedernales St
Austin, TX 78702-4744
Phone
(702) 706-4786
NPI assigned
Sep 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Nina Angel Perales, LCSWNPI 1346689601
Title
Owner
Phone
(702) 706-4786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

209 Pedernales St
Austin, TX 78702-4744

Mailing address

1608 Broadmoor Dr
Austin, TX 78723-3128
Phone (702) 706-4786

National Provider Directory

National Provider Directory

Locations

209 Pedernales St
Austin, TX 78702
Phone (702) 706-4786

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": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1750118998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 BROADMOOR DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233128",
            "telephone_number": "702-706-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PEDERNALES ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024744",
            "telephone_number": "702-706-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFC CHANGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "PERALES",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-706-4786",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.