Shani Hoffman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12977 Issued in FL

Practice address

611 Ponte Vedra Lakes Blvd Apt 2306
Ponte Vedra Beach, FL 32082-1246

Phone

(904) 800-8835

NPI assigned

Feb 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1053010371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 PONTE VEDRA LAKES BLVD APT 2306",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821246",
            "telephone_number": "904-800-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 PONTE VEDRA LAKES BLVD APT 2306",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821246",
            "telephone_number": "904-800-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "SHANI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "12977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Nicole Hicks, MOT
• Caitlin Hidde, DPT
• Jane Young Hill, L.C.S.W., D.C.S.W.
• Rachel A Hillegass, MSW, LCSW
• Emily Hite
• Michael Holcombe, LAT, ATC
• Holiday CVS LLC
• Stephanie Dyane Hollis, MD
• Brooke Holway, ARNP
• Matthew Hood, LMHC

• Clinical Social Worker in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, 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 Jul 8, 2023; 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.