Change Therapeutic Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHANGE THERAPEUTIC SERVICES PLLC

Practice address

4302 Britley CT
Greensboro, NC 27406-8554

Phone

(336) 553-8371

NPI assigned

Feb 12, 2026

Last updated

Feb 12, 2026By 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

Andrea Liles, LCSWNPI 1619456712

Title

Managing Member

Phone

(336) 553-8371

Specialties & licenses 1

Addresses

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.

• Andrea Rashika Liles

  • Social Worker
  • Greensboro, NC
  • NPI 1619456712

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1922950708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 BRITLEY CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068554",
            "telephone_number": "336-553-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 BRITLEY CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068554",
            "telephone_number": "336-553-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE THERAPEUTIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "336-553-8371",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jane Chaney, CNA
• Vernon Lee Chaney Jr.
• Jeffrey Chang, M.D.
• Joe C. Chang, PA-C, L.AC
• Change Point Consultants, PLLC
• Changing Lives Group Home II LLC
• Changing Lives Group Home IV , LLC
• Changing Paths Counseling Center PLLC
• Changing Phases Behavioral Support (Changing Phases Behavioral Support One)
• Grace Faith Chao, M.D.

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.