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CREATE CHANGE, LLC
NPI 1407210867
Social Worker - Clinical in Portland, OR

Active since April 11, 2016
312 NW 10TH AVE, SUITE 200, PORTLAND, OR 97209(503) 842-7855(503) 222-0984 Get Directions Write a Review

NPPES record last updated: April 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Create Change, Llc NPPES

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

CREATE CHANGE, LLC (NPI 1407210867) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since April 2016. The organization lists Sheila Walty, Director, as its authorized official.

NPPES Registry Identity

NPI1407210867
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCREATE CHANGE, LLC
Location Address312 NW 10TH AVE, SUITE 200Portland, OR 97209-3121
Mailing Address312 Nw 10th Ave, Suite 200Portland, OR 97209-3121 · (503) 842-7855 · Fax (503) 222-0984
Phone(503) 842-7855
Fax(503) 222-0984
Organization SubpartNo
Authorized OfficialSheila WaltyDirector · (503) 842-7855
Enumeration DateApril 11, 2016
✔ NPI 1407210867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · 2340
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.
312 NW 10TH AVE, Portland, OR 97209
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Other Identifiers 1

Medicare PINR137445OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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 Create Change, LLC's NPI number?

The NPI number for Create Change, LLC is 1407210867. It was assigned to this organization in the NPPES registry on April 11, 2016.

Where is Create Change, LLC located?

Create Change, LLC is located at 312 NW 10th Ave Suite 200, Portland, OR 97209. The listed phone number is (503) 842-7855.

What is Create Change, LLC's specialty?

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

What insurance does Create Change, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Create Change, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Create Change, LLC was last updated on April 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.