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Contact Information

CHANGE, INC
1251 S MAIN ST
MIDDLETOWN, CT06457-5050
 Phone: 860-346-0771
 Fax: 860-346-0772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CHANGE, INC

NPI # 1659805737
LBN Legal business name CHANGE, INC
Authorized official SHELLY LICKWAR - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2017
Last updated 04/17/2017 - About 9 years ago
Identifiers
CT License # 3737
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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