MEDICARE: HOPE FOR CHANGE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1144117193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE FOR CHANGE, LLC

Provider Business Mailing Address
First Line	:	5653 VIEWPOINTE DR APT C
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45213-2653
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5653 VIEWPOINTE DR APT C
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45213-2653
Country	:	US
Telephone Number	:	502-797-8968
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	BARBARA FIELDS-HICKS
Credential	:	LISW
Telephone Number	:	502-797-8968

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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Directions to “HOPE FOR CHANGE, LLC ” Practice Location

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