Organization Active NPI

Life Changes Unlimited Corp.

  • Clinical Social Worker
  • New City, NY
National Provider Identifier
1881799872
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE CHANGES UNLIMITED CORP.
Practice address
15 Bellows LN
New City, NY 10956-2442
Phone
(845) 708-0143
Fax
(845) 639-9515
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Ms. Randee Lynne Shuman, LCSWRNPI 1538264304
Title
Licensed Clinical Social Worker
Phone
(845) 708-0143

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

15 Bellows LN
New City, NY 10956-2442

Mailing address

15 Bellows LN
New City, NY 10956-2442
Phone (845) 708-0143

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1881799872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BELLOWS LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562442",
            "telephone_number": "845-708-0143",
            "fax_number": "845-639-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BELLOWS LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562442",
            "telephone_number": "845-708-0143",
            "fax_number": "845-639-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES UNLIMITED CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "845-708-0143",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSWR"
    },
    "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 New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.