Individual provider Active NPI

Salome Dyane Hoff-McFarlane, MSW LCSW LGSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1104929785
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3526 Issued in ND
Practice address
510 4TH St S
Fargo
Fargo, ND 58104
Phone
(701) 476-7200
Fax
(701) 280-5795
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3526 ND Primary
Clinical Social Worker 1041C0700X 15279 MN

Addresses

Primary practice location

510 4TH St S
Fargo
Fargo, ND 58104

Mailing address

1228 7TH St N
Moorhead
Moorhead, MN 56560
Phone (701) 476-7816

Other names 1

  • Mrs. Salome Dyane Hoff-McFarlane Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120112000391 MN Practitioner - Clinical Social Worker 9133221203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ccri, IncGroup PAC ID 2769527605, 2 clinicians

Practice addresses (Care Compare)

2903 15TH St S
Moorhead, MN 56560-5111
Phone (218) 236-6730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15279MNMDClinical Social Worker
3526NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ccri, Inc CurrentSince Dec 6, 2011 Accepting new patients
PSJ Acquisition LLC Past Accepting new patients

Locations

2903 15th St S
Moorhead, MN 56560
Phone (218) 236-6730

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1104929785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 7TH ST N",
            "address_2": "MOORHEAD",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "701-476-7816",
            "fax_number": "701-476-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 4TH ST S",
            "address_2": "FARGO",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-476-7200",
            "fax_number": "701-280-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFF-MCFARLANE",
        "first_name": "SALOME",
        "middle_name": "DYANE",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "3526",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALOME",
            "last_name": "HOFF-MCFARLANE",
            "middle_name": "DYANE",
            "prefix": "MRS.",
            "credential": "MSW LCSW LGSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.