Collaborative Change LLC
Clinical Social Worker · Brownsburg, IN
Practice location
1060 E Main St # S401Brownsburg, IN 46112-1408
- Phone
- (317) 296-4187
- Fax
- (317) 203-0995
NPI record
- NPI
- 1770916587
- Entity type
- Organization (Type 2)
- Enumeration date
- August 15, 2013
- Last updated
- May 4, 2022
- Certified
- May 4, 2022
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
34005850A | IN |
Mailing address
8331 Crawfordsville RdIndianapolis, IN 46234-7740
- Phone
- (317) 296-4187
Authorized official
- Name
- Babe Black, LCSW
- Title
- Owner
- Phone
- (317) 225-9483
Other practice locations (3)
- 10787 Running Brook Rd, Indianapolis, IN 46234-7740 · (317) 225-9483
- 1125 Brookside Ave Ste S60, Indianapolis, IN 46202-0056 · (317) 296-4187
- 10293 N Meridian St # S180, Carmel, IN 46290-1123 · (317) 296-4187
About Collaborative Change LLC
Collaborative Change LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1060 E Main St # S401, Brownsburg, IN 46112-1408. The NPI number 1770916587 was assigned on August 15, 2013 and the record was last updated on May 4, 2022.
Collaborative Change LLC lists a license in the registry: #34005850A (IN) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Babe Black, LCSW, Owner.
Frequently asked questions
What is the NPI number of Collaborative Change LLC?
The NPI number is 1770916587.
What is the phone number of Collaborative Change LLC?
The phone number listed for the practice location is (317) 296-4187.
Where is Collaborative Change LLC located?
1060 E Main St # S401, Brownsburg, IN 46112-1408.
What is the taxonomy code for Collaborative Change LLC?
The primary taxonomy code is 1041C0700X – Clinical Social Worker.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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