Fix-It With Forward LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CWO19240 Issued in PA

Legal business name

FIX-IT WITH FORWARD LLC

Doing business as

Fix-It with Forward LLC

Practice address

3201 RT 212
2ND Floor
Springfield, PA 18055

Phone

(610) 349-0592

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Tammy Labar-Hoffman

Title

Credentialer

Phone

(610) 570-9388

Specialties & licenses 1

Addresses

Other names 1

• Fix-It with Forward LLC Doing business as

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1497240154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 ADAMS WAY",
            "city": "RIEGELSVILLE",
            "state": "PA",
            "postal_code": "180779772",
            "telephone_number": "610-349-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 RT 212",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "18055",
            "telephone_number": "610-349-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIX-IT WITH FORWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "LABAR-HOFFMAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "610-570-9388"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CWO19240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fix-It with Forward LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fix-It with Forward LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Marie Ferro, AGNP-C
• Kelly Anne Ferry, MOTR/L
• Alice Fischer, LSW
• Michelle Leaht Fischer, PA-C
• Victoria Lynn Fisher, OTR/L
• Yakesha Antwana Floyd
• Focus on Eyes Inc
• Kate Forest
• Fortunato Enterprises Inc
• William Jeffery Fought, PA-C

• Clinical Social Worker in Springfield, PA
• Providers in Springfield, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.