Provider Demographics
NPI:1700322559
Name:MOVING FORWARD LLC
Entity type:Organization
Organization Name:MOVING FORWARD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:THORPE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LCAC
Authorized Official - Phone:219-545-5831
Mailing Address - Street 1:2781 W 83RD LN
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6067
Mailing Address - Country:US
Mailing Address - Phone:219-545-5831
Mailing Address - Fax:
Practice Address - Street 1:2781 W 83RD LN
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6067
Practice Address - Country:US
Practice Address - Phone:219-545-5831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000416A101YA0400X
IN33005517A1041C0700X, 1041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300011797Medicaid