Changing Leads LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW126481 Issued in PA

Legal business name

CHANGING LEADS LLC

Practice address

650 Breezewood Drive
State College, PA 16801

Phone

(814) 238-0961

NPI assigned

Sep 3, 2008

Last updated

Sep 3, 2008By 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

Mr. Paul Allan Moore, LICENSED SOCIAL WORK

Title

Ceo

Phone

(814) 238-0961

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1962650960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 BREEZEWOOD DRIVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-238-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BREEZEWOOD DRIVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-238-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LEADS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-238-0961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED SOCIAL WORK"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meredith Chaney
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• Melanie M. Chaputa-Cherry, M.D.
• Kristine K. Charles, M.D.
• Daniel L Chase, M.S.,A.T.C.
• William D. Chase Jr., M.D.

• Social Worker in State College, PA
• Providers in State College, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.