CREATE CHANGE WELLNESS CENTER LLC
NPI 1619533916
Social Worker in Paterson, NJ

Active since May 13, 2019
50 E 37TH ST, PATERSON, NJ 07514(973) 567-5941 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Create Change Wellness Center Llc NPPES

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

CREATE CHANGE WELLNESS CENTER LLC (NPI 1619533916) is a healthcare organization registered as a social worker in Paterson, New Jersey and active in the NPI registry since May 2019. The organization lists Cyrena M Dussard, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1619533916
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameCREATE CHANGE WELLNESS CENTER LLC
Location Address50 E 37TH STPaterson, NJ 07514-1212
Mailing Address50 E 37th StPaterson, NJ 07514-1212 · (973) 567-5941
Organization SubpartNo
Authorized OfficialCyrena M DussardClinical Director · (973) 567-5941
Enumeration DateMay 13, 2019
NPI 1619533916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselorTaxonomy 101Y00000X
50 E 37TH ST, Paterson, NJ 07514

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

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

Social Worker
50 E 37TH ST
PATERSON, NJ 07514

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 Wellness Center LLC's NPI number?

The NPI number for Create Change Wellness Center LLC is 1619533916. It was assigned to this organization in the NPPES registry on May 13, 2019.

Where is Create Change Wellness Center LLC located?

Create Change Wellness Center LLC is located at 50 E 37th St, Paterson, NJ 07514. The listed phone number is (973) 567-5941.

What is Create Change Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Create Change Wellness Center LLC was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.