Active NPI
Judith Lynn Hoffman, MSW, LISW-CP
- Social Worker
- North Charleston, SC
National Provider Identifier
1043284623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- #72
- Practice address
- 9263-A Medical Plaza Drive
North Charleston, SC 29406 - Phone
- (843) 209-0961
- Fax
- (843) 884-4019
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 72 | SC | |
| Social Worker | 104100000X | #72 | SC | Primary |
Addresses
Primary practice location
9263-A Medical Plaza Drive
North Charleston, SC 29406
Mailing address
9263-A Medical Plaza Drive
North Charleston, SC 29406
Phone (843) 209-0961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #72 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psych Solutions Corp | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1225078629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480204800000",
"number": "1043284623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9263-A MEDICAL PLAZA DRIVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29406",
"telephone_number": "843-209-0961",
"fax_number": "843-884-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9263-A MEDICAL PLAZA DRIVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29406",
"telephone_number": "843-209-0961",
"fax_number": "843-884-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "JUDITH",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MSW, LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2016-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "72",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "#72",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.