Individual provider Active NPI

Dana Hoffman Blustajn, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1114227154
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007284 Issued in CT
Practice address
315 Whitney Ave
New Haven, CT 06511-3715
Phone
(415) 595-6841
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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 007284 CT Primary

Addresses

Primary practice location

315 Whitney Ave
New Haven, CT 06511-3715

Mailing address

103 Canner St
New Haven, CT 06511-2201
Phone (415) 595-6841

Other names 1

  • Dana Hoffman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160526001527 CT Practitioner - Clinical Social Worker 1658661012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

40 Temple St
Suite 1a
New Haven, CT 06510-2715
Phone (203) 785-4138

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007284CTMDClinical Social Worker
7284CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Nov 1, 2018 Accepting new patients
Connecticut Psychiatric & Wellness Center CurrentSince Mar 25, 2016 Accepting new patients
Yale University CurrentSince Nov 1, 2018 Accepting new patients
Connecticut Psychiatric & Wellness Center Past Accepting new patients

Locations

2446 Whitney Ave
#2
Hamden, CT 06518
Phone (203) 298-9005

40 Temple St
Ste 1A1
New Haven, CT 06510
Phone (203) 785-5208

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

1 Bradley Rd
Ste 404
Woodbridge, CT 06525
Phone (203) 298-9005

Organizations & group practices 4

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1114227154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CANNER ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112201",
            "telephone_number": "415-595-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113715",
            "telephone_number": "415-595-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN BLUSTAJN",
        "first_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "HOFFMAN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.