Constructive Changes Licensed Clinical Social Worker Services
NPI 1417630757 · Community/Behavioral Health Agency · Champaign, IL
Constructive Changes Licensed Clinical Social Worker Services is a Community/Behavioral Health Agency organization in Champaign, IL (NPI 1417630757).
Provider details
- NPI number
- 1417630757
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alex Quintanilla, Owner(217) 615-0350
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-08-14
- Last updated
- 2023-08-14
- Certified
- 2023-07-14
Frequently asked questions
- What is Constructive Changes Licensed Clinical Social Worker Services's NPI number?
- Constructive Changes Licensed Clinical Social Worker Services's National Provider Identifier (NPI) is 1417630757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Constructive Changes Licensed Clinical Social Worker Services?
- Constructive Changes Licensed Clinical Social Worker Services is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Constructive Changes Licensed Clinical Social Worker Services located?
- Constructive Changes Licensed Clinical Social Worker Services's practice location on file with NPPES is 44 E Main St Ste 406, Champaign, IL 61820-3649.
- What is Constructive Changes Licensed Clinical Social Worker Services's phone number?
- The practice phone number listed in the NPPES registry for Constructive Changes Licensed Clinical Social Worker Services is (217) 615-0350.
- Who is the authorized official for Constructive Changes Licensed Clinical Social Worker Services?
- The authorized official listed on Constructive Changes Licensed Clinical Social Worker Services's NPPES record is Alex Quintanilla, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Constructive Changes Licensed Clinical Social Worker Services's NPI active?
- Yes — Constructive Changes Licensed Clinical Social Worker Services's NPI (1417630757) is active in the NPPES registry as of the last update on 2023-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.