Change Therapeutic Services, Inc.
NPI 1134718042 · Clinical Social Worker · Victorville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Change Therapeutic Services, Inc. is a Clinical Social Worker organization in Victorville, CA (NPI 1134718042).
Provider details
- NPI number
- 1134718042
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shareela Allen, Owner(909) 654-0798
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Frequently asked questions
- What is Change Therapeutic Services, Inc.'s NPI number?
- Change Therapeutic Services, Inc.'s National Provider Identifier (NPI) is 1134718042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Change Therapeutic Services, Inc.?
- Change Therapeutic Services, Inc. is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Change Therapeutic Services, Inc. located?
- Change Therapeutic Services, Inc.'s practice location on file with NPPES is 15447 Anacapa Rd Ste D102, Victorville, CA 92392-2481.
- What is Change Therapeutic Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Change Therapeutic Services, Inc. is (090) 965-4079.
- Does Change Therapeutic Services, Inc. accept Medicare?
- Change Therapeutic Services, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Change Therapeutic Services, Inc.?
- The authorized official listed on Change Therapeutic Services, Inc.'s NPPES record is Shareela Allen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Change Therapeutic Services, Inc.'s NPI active?
- Yes — Change Therapeutic Services, Inc.'s NPI (1134718042) is active in the NPPES registry as of the last update on 2021-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.