Forward Momentum Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11257 Issued in FL

Legal business name

FORWARD MOMENTUM COUNSELING

Practice address

1414 Gay Rd
Suite 205
Winter Park, FL 32789-2928

Phone

(407) 216-9032

Fax

(407) 386-6766

NPI assigned

Aug 3, 2014

Last updated

Nov 7, 2015By 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

Ms. Renee Nicole Treviranus, LCSWNPI 1265718415

Title

VP Licensed Clinical Social Worker

Phone

(407) 216-9032

Specialties & licenses 1

Addresses

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.

• Renee Nicole Treviranus, LCSW

  • Clinical Social Worker
  • Winter Park, FL
  • NPI 1265718415
  NPD (past) Authorized official

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

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446854400000",
    "number": "1790194843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 GAY RD",
            "address_2": "SUITE 205",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892928",
            "telephone_number": "407-216-9032",
            "fax_number": "407-386-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 GAY RD",
            "address_2": "SUITE 205",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892928",
            "telephone_number": "407-216-9032",
            "fax_number": "407-386-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD MOMENTUM COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-03",
        "last_updated": "2015-11-07",
        "status": "A",
        "authorized_official_last_name": "TREVIRANUS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "VP LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "407-216-9032",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Forman, CLINSCD., CCC/SLP
• Micah J Forman, ARNP
• Amanda Forsythe, COTA
• Fortis Wellness and Primary Care, LLC
• Carla E Fortune, AUD
• Matthew Aaron Foss
• Four Lucky Kids, LLC (4LK Healthcare)
• Four Seasons Acupouncture Treatnments
• Daniel Robert Fowler, PA-C
• Katherine Fowler, APRN

• Clinical Social Worker in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; 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.