Constructive Changes Licensed Clinical Social Worker Services
Constructive Changes Licensed Clinical Social Worker Services is a healthcare organization registered as Community/Behavioral Health Agency in Champaign, IL, holding Type 2 (organization) NPI 1417630757 since 2023. The authorized official on file is Alex Quintanilla, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417630757 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Constructive Changes Licensed Clinical Social Worker Services |
| Practice address | 44 E MAIN ST STE 406, Champaign, IL, 61820 |
| Phone | 2176150350 |
| Enumeration date | 2023-08-14 |
| Last updated in NPPES | 2023-08-14 |
Authorized official
| Name | Alex Quintanilla |
|---|---|
| Title | Owner |
| Phone | 2176150350 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Copy-ready billing details
Provider: Constructive Changes Licensed Clinical Social Worker Services NPI: 1417630757 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 44 E MAIN ST STE 406, Champaign, IL, 61820
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568635613 | Alex Quintanilla | Individual | Clinical Social Worker | Champaign, IL |
Verify this record
Cross-check NPI 1417630757 against the authoritative CMS record: view Constructive Changes Licensed Clinical Social Worker Services on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Constructive Changes Licensed Clinical Social Worker Services?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-08-14.