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CONSTRUCTIVE CHANGES LICENSED CLINICAL SOCIAL WORKER SERVICES
NPI 1417630757
Community/Behavioral Health in Champaign, IL

Active since August 14, 2023
44 E MAIN ST STE 406, CHAMPAIGN, IL 61820(217) 615-0350 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Constructive Changes Licensed Clinical Social Worker Services NPPES

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

CONSTRUCTIVE CHANGES LICENSED CLINICAL SOCIAL WORKER SERVICES (NPI 1417630757) is a healthcare organization registered as a community/behavioral health in Champaign, Illinois and active in the NPI registry since August 2023. The organization lists Alex Quintanilla, Owner, as its authorized official.

NPPES Registry Identity

NPI1417630757
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCONSTRUCTIVE CHANGES LICENSED CLINICAL SOCIAL WORKER SERVICES
Location Address44 E MAIN ST STE 406Champaign, IL 61820-3649
Mailing Address1717 W Kirby Ave Unit 306Champaign, IL 61821-5507 · (217) 615-0350
Phone(217) 615-0350
Organization SubpartNo
Authorized OfficialAlex QuintanillaOwner · (217) 615-0350
Enumeration DateAugust 14, 2023
NPPES CertifiedJuly 14, 2023
✔ NPI 1417630757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
44 E MAIN ST STE 406, Champaign, IL 61820
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Other Providers at the Same Location NPPES

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

ALEX BALMORE QUINTANILLA LCSW 84870
Social Worker (Clinical)
44 E MAIN ST STE 406
CHAMPAIGN, IL 61820
Champaign County (217) 615-0350

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 Constructive Changes Licensed Clinical Social Worker Services's NPI number?

The NPI number for Constructive Changes Licensed Clinical Social Worker Services is 1417630757. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Constructive Changes Licensed Clinical Social Worker Services located?

Constructive Changes Licensed Clinical Social Worker Services is located at 44 E Main St Ste 406, Champaign, IL 61820. The listed phone number is (217) 615-0350.

What is Constructive Changes Licensed Clinical Social Worker Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Constructive Changes Licensed Clinical Social Worker Services was last updated on August 14, 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.