Change Therapeutic Services, Inc.
NPI 1134718042ActiveOrganization· Social Worker, Clinical· Victorville, CA
Social Worker, Clinical in Victorville, California, registered in NPPES in January 2021. The authorized official on file is Shareela Marie Allen, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134718042 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2021 |
| Last updated in NPPES | Jan 14, 2021 |
| Certified by provider | Jan 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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