CHANGE WITHIN REACH, LICENSED CLINICAL SOCIAL WORKER CORPORATION (NPI# 1003207002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003207002 |
| Entity Type | Organization |
| Organization Name | CHANGE WITHIN REACH, LICENSED CLINICAL SOCIAL WORKER CORPORATION |
| Practice Address |
17777 Ventura Blvd Ste 105 Encino CA 91316 |
| Mailing Address |
17777 Ventura Blvd Ste 105 Encino CA 91316-3738 |
| Practice Telephone | 2134452266 |
| Practice Fax Number | 2139081233 |
| Mailing Telephone | 2134452266 |
| Mailing Fax Number | 2139081233 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | DR. ANNA GERSHELIS (PRESIDENT) |
| Authorized Official Telephone | 2134452266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
LCSW28777 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1285901942 | 05 |
| Street Address |
17777 VENTURA BLVD STE 105 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275650095 | William Kaiser | Psychologist | 17777 Ventura Blvd Ste 105, Encino, CA 91316-3738 | 2007-03-25 |
| 1710500459 | Jean Griffin Borho | Social Worker | 17777 Ventura Blvd Ste 105, Encino, CA 91316-3738 | 2020-05-27 |
| 1114540143 | Amancay Ledezma | Counselor | 17777 Ventura Blvd Ste 105, Encino, CA 91316-3738 | 2020-05-26 |
| 1033759329 | Eva Eduarte | Marriage & Family Therapist | 17777 Ventura Blvd Ste 105, Encino, CA 91316-3738 | 2020-01-14 |
| 1114496981 | Tanaz Sadeghi | Marriage & Family Therapist | 17777 Ventura Blvd Ste 105, Encino, CA 91316-3738 | 2018-11-21 |
| 1023594033 | Hripsime Harutyunyan | Marriage & Family Therapist | 17777 Ventura Blvd Ste 105, Encino, CA 91316-3738 | 2018-07-12 |
| 1154874915 | Matthew David Mclean | Marriage & Family Therapist | 17777 Ventura Blvd Ste 105, Encino, CA 91316-3738 | 2016-07-28 |
| 1285901942 | Anna Gershelis | Social Worker | 17777 Ventura Blvd Ste 105, Encino, CA 91316 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652296 | Executive Recovery Group, Inc | Clinic/Center | 15613 Ventura Blvd, Encino, CA 91436-3128 | 2019-07-25 |
| 1336616812 | Adapt Psychotherapy Centers Inc | Clinic/Center | 5535 Balboa Blvd Ste 220, Encino, CA 91316-1553 | 2018-11-01 |
| 1619210291 | Jack Gaines A Professional Corp. | Clinic/Center | 4833 Rubio Ave, Encino, CA 91436-1118 | 2013-04-01 |
| 1841504552 | Jill Klepetar Lcsw A Professional Corporation | Clinic/Center | 4735 White Oak Pl, Encino, CA 91316-3726 | 2010-08-05 |
| 1184841041 | Bernard Sosner Md, A Medical Corp | Clinic/Center | 16055 Ventura Blvd, Suite Number 926, Encino, CA 91436-2601 | 2007-04-19 |
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| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
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Please comment or provide details below to improve the information on CHANGE WITHIN REACH, LICENSED CLINICAL SOCIAL WORKER CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.