# CENTER OF CHANGE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417028374
- **Authorized official:** MS. NANCY JENERETTE HORNSBY MS, LBSW (OWNER)
- **Authorized official phone:** (803) 432-5200

## Contact information

- **Practice address:** 2039 W DEKALB ST, BUILDING 1, SUITE 2, CAMDEN, SC 29020-2092
- **Practice address phone:** (803) 432-5200
- **Practice address fax:** (803) 432-5199
- **Mailing address:** 2039 W DEKALB ST, BUILDING 1, SUITE 2, CAMDEN, SC 29020-2092
- **Mailing address phone:** (803) 432-5200
- **Mailing address fax:** (803) 432-5199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 8724 | SC | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 06/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP4217 | — | SC |