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INSTRUMENTAL CHANGE LLC
NPI 1700169687
Social Worker - Clinical in Merchantville, NJ

Active since September 27, 2011
210 E MAPLE AVE, D3, MERCHANTVILLE, NJ 08109(609) 313-4341 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Instrumental Change Llc NPPES

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

INSTRUMENTAL CHANGE LLC (NPI 1700169687) is a healthcare organization registered as a clinical in Merchantville, New Jersey and active in the NPI registry since September 2011. The organization lists Colleen B Fitzpatrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1700169687
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINSTRUMENTAL CHANGE LLC
Location Address210 E MAPLE AVE, D3Merchantville, NJ 08109-2615
Mailing Address210 E Maple Ave, D3Merchantville, NJ 08109-2615 · (609) 313-4341
Phone(609) 313-4341
Organization SubpartNo
Authorized OfficialColleen B FitzpatrickOwner · (609) 313-4341
Enumeration DateSeptember 27, 2011
✔ NPI 1700169687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
210 E MAPLE AVE, Merchantville, NJ 08109
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Instrumental Change 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 Instrumental Change LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Colleen Fitzpatrick, LCSW
Clinical Social Worker
NPI 1073786497
761 RIVER AVE
Lakewood, NJ 08701
(800) 275-3243
✔ PECOS✔ Accepts Medicare45 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 Instrumental Change LLC's NPI number?

The NPI number for Instrumental Change LLC is 1700169687. It was assigned to this organization in the NPPES registry on September 27, 2011.

Where is Instrumental Change LLC located?

Instrumental Change LLC is located at 210 E Maple Ave D3, Merchantville, NJ 08109. The listed phone number is (609) 313-4341.

What is Instrumental Change LLC's specialty?

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

Is Instrumental Change LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Instrumental Change LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Instrumental Change LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Instrumental Change LLC was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.