Hope Evergreen LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOPE EVERGREEN LLC

Practice address

8569 Cordes Cir Ste 1
Germantown, TN 38139-3317

Phone

(901) 250-5649

Fax

(228) 400-7966

NPI assigned

Oct 13, 2022

Last updated

Oct 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Katheryn McLendon, LCSW

Title

Business Owner

Phone

(901) 250-5649

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roneferiti Maishia Fowler, MS

  • Psychologist
  • Germantown, TN
  • NPI 1831211150
  NPD (past)
• Brayden Russell, LMSW

  • Clinical Social Worker
  • Olive Branch, MS
  • NPI 1891529491
  NPD (past)

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1568188266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1421",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386540925",
            "telephone_number": "901-250-5649",
            "fax_number": "228-400-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8569 CORDES CIR STE 1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393317",
            "telephone_number": "901-250-5649",
            "fax_number": "228-400-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE EVERGREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "KATHERYN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "901-250-5649",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1437483724",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "katherynmclendon.clientsecure.me",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8569 Cordes Cir Ste 1",
            "city": "Germantown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381393317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jodie Darlene Holmes, ARNP
• Meghan Holzemer, PT, DPT
• Sheria Nicole Honorable, FNP-BC
• Ashley Parker Hood, CCC SLP
• Stephen T. Hood, M.D.
• Jack T Hopkins Jr., M.D.
• Kenneth Marcus Hopkins, D.D.S.
• Jansje M Hoppe-Roberts, PHARM.D.
• Heidi Ann Hosick, MS CCC-A/SLP
• Hospice of Hope-Tennessee

• Clinical Social Worker in Germantown, TN
• Providers in Germantown, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.