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

Q: 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.

Q: 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.

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: August 16, 2026.

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

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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 ›

Other Providers at the Same Location NPPES 20

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

KATHRYN STEVENSON MFT

Marriage & Family Therapist