Individual provider Active NPI

Mary L. Hoffman, LCSW-R

  • Clinical Social Worker
  • Bronxville, NY
National Provider Identifier
1073062089
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R076968-1 Issued in NY
Practice address
161 Hampshire Rd
Bronxville, NY 10708-5813
Phone
(914) 787-9029
NPI assigned
Oct 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R076968-1 NY Primary

Addresses

Primary practice location

161 Hampshire Rd
Bronxville, NY 10708-5813

Mailing address

1 Mead Way
Bronxville, NY 10708-5940
Phone (914) 787-9029

Other names 1

  • Mary L Lo Bosco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113001322 NY Practitioner - Clinical Social Worker 1557895505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Beach Reach IncGroup PAC ID 3779884572, 14 clinicians

Practice addresses (Care Compare)

2 -12 W Park Ave
Long Beach, NY 11561-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R076968-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Reach Inc. CurrentSince Oct 21, 2024 Accepting new patients

Locations

2-12 W Park Ave
Ste 200
Long Beach, NY 11561
Phone (516) 889-2332

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.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1073062089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEAD WAY",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107085940",
            "telephone_number": "914-787-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HAMPSHIRE RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107085813",
            "telephone_number": "914-787-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MARY",
        "middle_name": "L.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R076968-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LO BOSCO",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.