Forever Evolving Psychotherapy PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

FOREVER EVOLVING PSYCHOTHERAPY PLLC

Practice address

500 SE Everett Mall Way Ste B202
Everett, WA 98208-8122

Phone

(425) 953-3910

NPI assigned

May 12, 2019

Organization subpart

No

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

Authorized official

Name

Erika Vannesa Mora, LICSW, MSWNPI 1396051710

Title

Owner

Phone

(425) 953-3910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erika Vannesa Mora, MSW, LICSW

  • Social Worker
  • Everett, WA
  • NPI 1396051710
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1386200764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SE EVERETT MALL WAY STE B202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982088122",
            "telephone_number": "425-953-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE EVERETT MALL WAY STE B202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982088122",
            "telephone_number": "425-953-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER EVOLVING PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-12",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "VANNESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-953-3910",
        "authorized_official_credential": "LICSW, MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charie Ford, LMP
• Danielle Ford
• Linda E Ford
• Kylie R Fordon, OT
• Dee Marie Foreman, RPH
• Nidia Marcela Forman, RDH, OMT
• Rebecca Louise Formosa, ARNP
• Chandler Davin Fornia, BA
• Allison Forrest, NONE
• British Fort, MD

• Social Worker in Everett, WA
• Providers in Everett, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.