Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Change of Tides Therapy LLC

Organization Clinical Social Worker · NPI 1164114294

Change of Tides Therapy LLC provides Clinical Social Worker services in East Lyme, Connecticut. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

314 Flanders Rd Ste 2D
East Lyme, CT 06333-1727
Phone: (860) 460-0983
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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 number1164114294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie Camann — Owner, Therapist · (860) 460-0983
NPI enumeratedMay 25, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address314 Flanders Rd Ste 2d, East Lyme, CT 06333-1727

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