CHANGE OF TIDES THERAPY LLC
NPI 1164114294
Social Worker - Clinical in East Lyme, CT

Active since May 25, 2023
314 FLANDERS RD STE 2D, EAST LYME, CT 06333(860) 460-0983 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2023, May 25, 2023 (2 updates tracked since 2023).

About Change Of Tides Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGE OF TIDES THERAPY LLC (NPI 1164114294) is a healthcare organization registered as a clinical in East Lyme, Connecticut and active in the NPI registry since May 2023. The organization lists Katie Camann, Owner, Therapist, as its authorized official.

NPPES Registry Identity

NPI1164114294
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCHANGE OF TIDES THERAPY LLC
Location Address314 FLANDERS RD STE 2DEast Lyme, CT 06333-1727
Mailing Address314 Flanders Rd Ste 2dEast Lyme, CT 06333-1727 · (860) 460-0983
Organization SubpartNo
Authorized OfficialKatie CamannOwner, Therapist · (860) 460-0983
Enumeration DateMay 25, 2023
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
NPI 1164114294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
314 FLANDERS RD STE 2D, East Lyme, CT 06333

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
314 FLANDERS RD STE 2D
EAST LYME, CT 06333
Counselor (Mental Health)
314 FLANDERS RD STE 2D
EAST LYME, CT 06333
Occupational Therapist
314 FLANDERS RD STE 2D
EAST LYME, CT 06333
Counselor (Mental Health)
314 FLANDERS RD STE 2D
EAST LYME, CT 06333
Social Worker (Clinical)
314 FLANDERS RD STE 2D
EAST LYME, CT 06333
Community/Behavioral Health
314 FLANDERS RD STE 2D
EAST LYME, CT 06333
Occupational Therapist
314 FLANDERS RD STE 2D
EAST LYME, CT 06333
Social Worker (Clinical)
314 FLANDERS RD STE 2D
EAST LYME, CT 06333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Change Of Tides Therapy LLC's NPI number?

The NPI number for Change Of Tides Therapy LLC is 1164114294. It was assigned to this organization in the NPPES registry on May 25, 2023.

Where is Change Of Tides Therapy LLC located?

Change Of Tides Therapy LLC is located at 314 Flanders Rd Ste 2D, East Lyme, CT 06333. The listed phone number is (860) 460-0983.

What is Change Of Tides Therapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Change Of Tides Therapy LLC was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.