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

Change Therapeutic Services, Inc

Organization Clinical Social Worker · NPI 1134718042

Change Therapeutic Services, Inc is a Clinical Social Worker in Victorville, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15447 Anacapa Rd Ste D102
Victorville, CA 92392-2481
Phone: (090) 965-4079
Fax: (800) 915-8151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1134718042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shareela Allen — Owner · (909) 654-0798
NPI enumeratedJanuary 14, 2021
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021
Mailing address15447 Anacapa Rd Ste D102, Victorville, CA 92392-2481

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