NPIMap

Organization Active NPI

Hope 4 Tomorrow LLC

  • Clinical Social Worker
  • Bloomington, IL
National Provider Identifier
1063898476
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015543 Issued in IL
Legal business name
HOPE 4 TOMORROW LLC
Practice address
2422 E Washington St
Suite 107
Bloomington, IL 61704-4478
Phone
(309) 310-9621
Fax
(309) 454-6501
NPI assigned
Aug 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Roxxi M Davis, LCSW
Title
Owner
Phone
(309) 310-9621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.015543 IL Primary

Addresses

Primary practice location

2422 E Washington St
Suite 107
Bloomington, IL 61704-4478

Mailing address

2422 E Washington St
Suite 107
Bloomington, IL 61704-4478
Phone (309) 310-9621

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1063898476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 E WASHINGTON ST",
            "address_2": "SUITE 107",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044478",
            "telephone_number": "309-310-9621",
            "fax_number": "309-454-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 E WASHINGTON ST",
            "address_2": "SUITE 107",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044478",
            "telephone_number": "309-310-9621",
            "fax_number": "309-454-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE 4 TOMORROW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROXXI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-310-9621",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.