CENTER FOR CONSCIOUS CHANGE PLLC
NPI 1649761974
Social Worker - Clinical in Concord, NC

Active since May 22, 2018
900 COPPERFIELD BLVD NE, CONCORD, NC 28025(704) 729-4767 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Center For Conscious Change Pllc NPPES

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

CENTER FOR CONSCIOUS CHANGE PLLC (NPI 1649761974) is a healthcare organization registered as a clinical in Concord, North Carolina and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Charlotte and lists Debra Neisler, Director, as its authorized official.

NPPES Registry Identity

NPI1649761974
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCENTER FOR CONSCIOUS CHANGE PLLC
Location Address900 COPPERFIELD BLVD NEConcord, NC 28025-2433
Mailing Address1614 Pat Garrett StCharlotte, NC 28206-2187 · (919) 368-3684
Organization SubpartNo
Authorized OfficialDebra NeislerDirector · (919) 368-3684
Enumeration DateMay 22, 2018
NPI 1649761974 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 NC · C006216
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.
900 COPPERFIELD BLVD NE, Concord, NC 28025

Secondary Practice Location 1

Location 11614 Pat Garrett StCharlotte, NC 28206-2187 · Phone (919) 368-3684

Other Identifiers 4

Other1689728784Blue Cross Blue Shield
Other6007227Aetna
Other977827Beacon Health
Medicaid6007170NC

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

Other Providers at the Same Location NPPES 6

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

Counselor (Addiction (Substance Use Disorder))
900 COPPERFIELD BLVD NE
CONCORD, NC 28025
Counselor (Professional)
900 COPPERFIELD BLVD NE
CONCORD, NC 28025
Counselor (Professional)
900 COPPERFIELD BLVD NE
CONCORD, NC 28025
Counselor (Addiction (Substance Use Disorder))
900 COPPERFIELD BLVD NE
CONCORD, NC 28025
Counselor (Mental Health)
900 COPPERFIELD BLVD NE
CONCORD, NC 28025
Counselor (Professional)
900 COPPERFIELD BLVD NE
CONCORD, NC 28025

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 Center For Conscious Change PLLC's NPI number?

The NPI number for Center For Conscious Change PLLC is 1649761974. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Center For Conscious Change PLLC located?

Center For Conscious Change PLLC is located at 900 Copperfield Blvd NE, Concord, NC 28025. The listed phone number is (704) 729-4767.

What is Center For Conscious Change PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Center For Conscious Change PLLC was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.