Forever Hope, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FOREVER HOPE, PLLC

Practice address

3000 Bethesda PL Ste 201
Winston Salem, NC 27103-3324

Phone

(336) 793-5718

NPI assigned

Jan 25, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy D'Andrea Charles, LCSW

Title

Organizer/Licensed Therapist

Phone

(336) 793-5718

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1013507862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25653",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271145653",
            "telephone_number": "336-793-5718",
            "fax_number": "336-790-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL STE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033324",
            "telephone_number": "336-793-5718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4731 Seminole Ct",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271279432",
            "country_code": "US",
            "telephone_number": "336-793-5718",
            "fax_number": "336-790-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOREVER HOPE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-07-02",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "D'ANDREA",
        "authorized_official_title_or_position": "ORGANIZER/LICENSED THERAPIST",
        "authorized_official_telephone_number": "336-793-5718",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568941326",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790182251",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.foreverhopenow.com",
            "affiliation": "N",
            "address_1": "3000 Bethesda Pl Ste 201",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Ford Jr., M.D.
• Ford, Simpson, Lively & Rice Pediatrics
• Lovinia Page Foreman Abernethy, CRNA
• Arthur Foreman, MD
• Daniel Jordan Forest, M.D.
• Michael S Forrest, LCSW
• Michelle Marie Forrest, M.A. CCC-SLP
• Simonica Uriah Forrest, FNP-C
• Stephanie Gayle Forrest, MD
• Giniann Forrester, RN

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.