Active NPI
New Hope, LLC
- Clinical Social Worker
- Macclenny, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9355
- Legal business name
- NEW HOPE, LLC
- Practice address
- 527 W Macclenny Ave
Macclenny, FL 32063-2037 - Phone
- (904) 704-2527
- Fax
- (866) 366-3884
- NPI assigned
- Mar 23, 2011
- Last updated
- Mar 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Riley, LCSW
- Title
- President/Owner
- Phone
- (904) 704-2527
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW9355 | FL | Primary |
Addresses
Primary practice location
527 W Macclenny Ave
Macclenny, FL 32063-2037
Mailing address
527 W Macclenny Ave
Macclenny, FL 32063-2037
Phone (904) 704-2527
National Provider Directory
National Provider Directory- Tax ID family
- Tracy Riley Counseling LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1306234950
-
- Clinical Social Worker
- Jacksonville, FL
- NPI 1902239270
Locations
527 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 704-2527
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Jacksonville, FL
- NPI 1679762553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300838400000",
"number": "1629377080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 W MACCLENNY AVE",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632037",
"telephone_number": "904-704-2527",
"fax_number": "866-366-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 W MACCLENNY AVE",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632037",
"telephone_number": "904-704-2527",
"fax_number": "866-366-3884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HOPE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-23",
"last_updated": "2011-03-23",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "904-704-2527",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macclenny, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.