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DYNAMIC CHANGE THERAPY LLC
NPI 1417674383
Social Worker - Clinical in East Lansing, MI

Active since October 21, 2022
1422 W SAGINAW ST, EAST LANSING, MI 48823(517) 331-0949 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 24, 2022, Oct 21, 2022 (2 updates tracked since 2022).

About Dynamic Change Therapy Llc NPPES

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

DYNAMIC CHANGE THERAPY LLC (NPI 1417674383) is a healthcare organization registered as a clinical in East Lansing, Michigan and active in the NPI registry since October 2022. The organization lists Cathy Gallegos, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1417674383
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDYNAMIC CHANGE THERAPY LLC
Location Address1422 W SAGINAW STEast Lansing, MI 48823-2434
Mailing Address1422 W Saginaw StEast Lansing, MI 48823-2434 · (517) 331-0949
Phone(517) 331-0949
Organization SubpartNo
Authorized OfficialCathy GallegosCredentialing Manager · (517) 483-2461
Enumeration DateOctober 21, 2022
Last NPPES UpdateOctober 24, 20222 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1417674383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSocial WorkerTaxonomy 104100000X
1422 W SAGINAW ST, East Lansing, MI 48823
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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 Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dynamic Change Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dynamic Change Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Fleming, MSW
Clinical Social Worker
NPI 1477106763
3475 BELLE CHASE WAY
Lansing, MI 48911
(517) 882-3732
✔ PECOS✔ Accepts Medicare4.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dynamic Change Therapy LLC's NPI number?

The NPI number for Dynamic Change Therapy LLC is 1417674383. It was assigned to this organization in the NPPES registry on October 21, 2022.

Where is Dynamic Change Therapy LLC located?

Dynamic Change Therapy LLC is located at 1422 W Saginaw St, East Lansing, MI 48823. The listed phone number is (517) 331-0949.

What is Dynamic Change Therapy LLC's specialty?

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

Is Dynamic Change Therapy LLC enrolled in Medicare?

Yes. Dynamic Change Therapy LLC is registered in the Medicare PECOS enrollment system.

What insurance does Dynamic Change Therapy LLC accept?

Health plans from Blue Care Network of Michigan list Dynamic Change Therapy 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 Dynamic Change Therapy LLC was last updated on October 24, 2022. 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.