Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Imagine Change Counseling and Psychotherapy, PLLC

Organization Clinical Social Worker · NPI 1649945023

Imagine Change Counseling and Psychotherapy, PLLC is a Clinical Social Worker in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1822 E Bluefield Ave
Phoenix, AZ 85022-1324
Phone: (424) 298-0560
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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 number1649945023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Jacobson — Owner · (424) 298-0560
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021
Mailing address1822 E Bluefield Ave, Phoenix, AZ 85022-1324

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