Organization Active NPI

Nancy Hoffman, LCSW, PC

  • Clinical Social Worker
  • Redmond, OR
National Provider Identifier
1164776142
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3262 Issued in OR
Legal business name
NANCY HOFFMAN, LCSW, PC
Practice address
247 SW 8TH St
Redmond, OR 97756-2117
Phone
(541) 390-3299
Fax
(541) 548-6501
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Nancy Hoffman, LCSWNPI 1871504936
Title
Owner
Phone
(541) 390-3299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X L3262 OR Primary

Addresses

Primary practice location

247 SW 8TH St
Redmond, OR 97756-2117

Mailing address

PO Box 264
Redmond, OR 97756-0042
Phone (541) 390-3299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130219000389 OR Part B Supplier - Clinic/Group Practice 6608021837 Receives reassigned benefits from 1 practitioner
Practice locations: Redmond, OR

National Provider Directory

National Provider Directory

Locations

247 SW 8th St
Redmond, OR 97756
Phone (541) 390-3299

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1164776142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560042",
            "telephone_number": "541-390-3299",
            "fax_number": "541-548-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 SW 8TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562117",
            "telephone_number": "541-390-3299",
            "fax_number": "541-548-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY HOFFMAN, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-390-3299",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.