Individual provider Active NPI

Susan Carol Hoffman

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1093096026
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
264474-3501 Issued in UT
Practice address
4943 Wasatch Blvd
Salt Lake City, UT 84124-4798
Phone
(801) 449-0089
NPI assigned
Sep 4, 2011
Last updated
May 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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 264474-3501 UT Primary

Addresses

Primary practice location

4943 Wasatch Blvd
Salt Lake City, UT 84124-4798

Mailing address

1531 Old Shepard Rd
Farmington, UT 84025-2846
Phone (801) 819-4480

Other names 1

  • Susan Johansen Hoffman Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
264474-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vivid Safe House PastSince Mar 24, 2024 Accepting new patients
Eva Carlston Academy Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1093096026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 OLD SHEPARD RD",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252846",
            "telephone_number": "801-819-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 WASATCH BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244798",
            "telephone_number": "801-449-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-04",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "264474-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HOFFMAN",
            "middle_name": "JOHANSEN",
            "credential": "L.C.S.W",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.