TIDES OF CHANGE (NPI# 1811273568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811273568 |
| Entity Type | Organization |
| Organization Name | TIDES OF CHANGE |
| Practice Address |
333 W Wilcox Dr Ste. 303 Sierra Vista AZ 85635-1789 |
| Practice Telephone | 5204582250 |
| Practice Fax Number | 5204582269 |
| Mailing Telephone | 5204582250 |
| Mailing Fax Number | 5204582269 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Authorized Official Name | MRS. MARIANNE S VALLADARES (CEO/PARTNER) |
| Authorized Official Telephone | 5204582250 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC12687 | AZ | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC10504 | AZ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LMSW | AZ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW12394 | AZ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW2922 | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW2811 | AZ | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW10948 | AZ | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TIDES OF CHANGE | 1902 2nd St, Tillamook, OR 97141 |
| Street Address |
333 W WILCOX DR STE. 303 |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-1789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134388358 | Healing Connections Counseling Services, LLC | Counselor | 333 W Wilcox Dr, Suite 303, Sierra Vista, AZ 85635-1756 | 2008-06-03 |
| 1033492947 | Makisha Litten Gunty | Social Worker | 333 W Wilcox Dr, Suite 303, Sierra Vista, AZ 85635-1789 | 2011-09-27 |
| 1295052579 | Lorna G Sedillos | Social Worker | 333 W Wilcox Dr, Suite 303, Sierra Vista, AZ 85635-1789 | 2010-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1740580570 | John Joseph Murphy | Social Worker | 999 E Fry Blvd Ste 305, C/o Alternatives Counseling Service, Inc. (pegg), Sierra Vista, AZ 85635-2620 | 2010-10-27 |
| 1306076732 | Joe Anthony Santos | Social Worker | 77 Calle Portal Ste C240, Sierra Vista, AZ 85635-2986 | 2009-07-20 |
| 1124110473 | Gail Z Eaton | Social Worker | 1858 Paseo San Luis Ste D, Sierra Vista, AZ 85635-5825 | 2006-09-28 |
| 1356365092 | Leiann Hawley | Social Worker | 2913 Oak Hill St, Sierra Vista, AZ 85650-5120 | 2006-07-26 |
| 1639139611 | D. N. Mcdowell | Social Worker | 2657 Player Dr, Sierra Vista, AZ 85650 | 2006-03-24 |
| 1326496233 | Joe A. Santos, Acsw, Lcsw, Pllc | Social Worker | 77 Calle Portal, Suite C240, Sierra Vista, AZ 85635-2986 | 2016-06-01 |
| 1306254743 | Sierra Therapy Solutions LLC | Social Worker | 1858 Paseo San Luis Ste D, Sierra Vista, AZ 85635-5825 | 2014-07-29 |
| 1760821847 | Lisa R Johnson | Social Worker | 101 N Coronado Dr, Suite A, Sierra Vista, AZ 85635-6358 | 2013-06-21 |
| 1942585195 | Sofia Anna Crowe | Social Worker | 155 Calle Portal Ste 700, Sierra Vista, AZ 85635 | 2011-10-19 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on TIDES OF CHANGE.
| 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.