Tides Changing Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TIDES CHANGING THERAPY

Practice address

2949 Federal Blvd # 205
Denver, CO 80211-3741

Phone

(772) 485-6301

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By 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

Samantha Alexis Miller, LCSW

Title

President, LCSW

Phone

(772) 485-6301

Specialties & licenses 1

Addresses

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.

• Samantha Alexis King, LCSW

  • Clinical Social Worker
  • Jensen Beach, FL
  • NPI 1477085736
  NPD

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1891396693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 W 38TH AVE # 190",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112019",
            "telephone_number": "772-485-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 FEDERAL BLVD # 205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113741",
            "telephone_number": "772-485-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3958 Navajo St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802112639",
            "country_code": "US",
            "telephone_number": "772-485-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIDES CHANGING THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT, LCSW",
        "authorized_official_telephone_number": "772-485-6301",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Joy Tice, MD
• Kelli Deborah Tichy, DO
• Noah Lal Tichy
• Robert James Tichy, M AC., DIPL AC
• Kyle Beth Tick, LCSW
• Samantha Elizabeth Tidwell, PA-C
• Sarah Tie, MA
• Emily Tiede
• Paige Tiefenthaler, LPCC
• Rebecca Tiell-Krekeler

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.