NPIMap

Organization Active NPI

Hope 4 You, LLC

  • Clinical Social Worker
  • Suitland, MD
National Provider Identifier
1679948053
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOPE 4 YOU, LLC
Practice address
5211 Auth Rd
Suitland, MD 20746-4339
Phone
(202) 257-6632
NPI assigned
Dec 10, 2015
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Mr. Bruce Tisdale, LICSW, LCSW-CNPI 1588816490
Title
Owner
Phone
(202) 257-6632

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5211 Auth Rd
Suitland, MD 20746-4339

Mailing address

2116 Catherine Fran Dr
Accokeek, MD 20607-3216
Phone (202) 257-6632

Other identifiers 1

IdentifierTypeStateIssuer
0394467MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160427000407 DC Part B Supplier - Clinic/Group Practice 3870892730 Receives reassigned benefits from 1 practitioner
Practice locations: Suitland, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1679948053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 CATHERINE FRAN DR",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073216",
            "telephone_number": "202-257-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 AUTH RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464339",
            "telephone_number": "202-257-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE 4 YOU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-257-6632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0394467",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.