Organization Active NPI

New Hope Center of Winston-Salem, LLC

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1700954773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000599 Issued in NC
Legal business name
NEW HOPE CENTER OF WINSTON-SALEM, LLC
Practice address
3314 Healy Dr
Suite 105
Winston Salem, NC 27103-1408
Phone
(336) 765-3586
Fax
(336) 774-2109
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lorraine M. Forris, MSW, LCSW
Title
Owner
Phone
(336) 765-3586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X C000599 NC Primary

Addresses

Primary practice location

3314 Healy Dr
Suite 105
Winston Salem, NC 27103-1408

Mailing address

3314 Healy Dr
Suite 105
Winston Salem, NC 27103-1408
Phone (336) 765-3586

National Provider Directory

National Provider Directory

Locations

3314 Healy Dr
Ste 105
Winston Salem, NC 27103
Phone (336) 602-2003

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700954773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 HEALY DR",
            "address_2": "SUITE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031408",
            "telephone_number": "336-765-3586",
            "fax_number": "336-774-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 HEALY DR",
            "address_2": "SUITE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031408",
            "telephone_number": "336-765-3586",
            "fax_number": "336-774-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE CENTER OF WINSTON-SALEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORRIS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-765-3586",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.