Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Change of Tides Therapy LLC

Organization Clinical Social Worker · NPI 1164114294

Change of Tides Therapy LLC is a Clinical Social Worker in East Lyme, Connecticut. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

314 Flanders Rd Ste 2D
East Lyme, CT 06333-1727
Phone: (860) 460-0983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1164114294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie Camann — Owner, Therapist · (860) 460-0983
NPI enumeratedMay 25, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address314 Flanders Rd Ste 2d, East Lyme, CT 06333-1727

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