Purple Change Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PURPLE CHANGE WELLNESS LLC

Practice address

7445 Allen Rd Ste 110
Allen Park, MI 48101-1959

Phone

(313) 914-4085

Fax

(313) 879-6549

NPI assigned

Mar 14, 2020

Last updated

Apr 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angelah Cramer, LMSW, CAADC, CCSNPI 1265784011

Title

Founder, Director, Therapist

Phone

(313) 914-4085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Angelah Dawn Cramer, LMSW, CAADC, CCS

  • Clinical Social Worker
  • Allen Park, MI
  • NPI 1265784011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1891321501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD STE 110",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011959",
            "telephone_number": "313-914-4085",
            "fax_number": "313-879-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD STE 110",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011959",
            "telephone_number": "313-914-4085",
            "fax_number": "313-879-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE CHANGE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-14",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "ANGELAH",
        "authorized_official_title_or_position": "FOUNDER, DIRECTOR, THERAPIST",
        "authorized_official_telephone_number": "313-914-4085",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, CAADC, CCS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.