NPIMap

Organization Active NPI

Project Change Clubhouse

  • Clinical Social Worker
  • Columbus, GA
National Provider Identifier
1821328923
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PROJECT CHANGE CLUBHOUSE
Practice address
1727 Boxwood PL
Columbus, GA 31906-2328
Phone
(706) 569-0727
Fax
(706) 569-7324
NPI assigned
Jan 12, 2010
Last updated
Jan 12, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW HORIZONS COMMUNITY SERVICE BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Perry Alexander
Title
Ceo
Phone
(706) 596-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1727 Boxwood PL
Columbus, GA 31906-2328

Mailing address

2100 Comer Ave
Columbus, GA 31904-8725
Phone (706) 596-5983

National Provider Directory

National Provider Directory
Tax ID family
New Horizons Comm SVC B46 organizations share this tax ID, including this one
Part of
New Horizons Comm SVC B

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1821328923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 COMER AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048725",
            "telephone_number": "706-596-5983",
            "fax_number": "706-596-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 BOXWOOD PL",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062328",
            "telephone_number": "706-569-0727",
            "fax_number": "706-569-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT CHANGE CLUBHOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HORIZONS COMMUNITY SERVICE BOARD",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-596-5757"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.