Change Agents Of Social Services Llc - Mental Health Clinic in Phoenix, AZ

Change Agents Of Social Services Llc is a mental health clinic (Community/behavioral Health) in Phoenix, Arizona. The current practice location for Change Agents Of Social Services Llc is 4717 E Mcdowell Rd, Phoenix, Arizona. For appointments, you can reach them via phone at (702) 305-0562. The mailing address for Change Agents Of Social Services Llc is 4717 E Mcdowell Rd, Phoenix, Arizona and phone number is (702) 305-0562.

Change Agents Of Social Services Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1598506669. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (702) 305-0562.

Contact Information

Change Agents Of Social Services Llc
4717 E Mcdowell Rd
Phoenix
AZ 85008-4544
(702) 305-0562
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameChange Agents Of Social Services Llc
SpecialityCommunity/behavioral Health
Location4717 E Mcdowell Rd, Phoenix, Arizona
Authorized Official Name and PositionJaden Hines (ADMINISTRATOR)
Authorized Official Contact7023050652
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Change Agents Of Social Services Llc
4717 E Mcdowell Rd
Phoenix
AZ 85008-4544

Ph: (702) 305-0562
Change Agents Of Social Services Llc
4717 E Mcdowell Rd
Phoenix
AZ 85008-4544

Ph: (702) 305-0562

NPI Details:

NPI Number1598506669
Provider Enumeration Date06/03/2024
Last Update Date06/03/2024
Certification Date06/03/2024

Medical Identifiers

Medical identifiers for Change Agents Of Social Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598506669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103K00000XBehavior Analyst (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary
373H00000XDay Training/habilitation Specialist (* (Not Available))Secondary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.