Individual provider Active NPI

James A Hoppner, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1174168439
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103732 Issued in NY
Practice address
1110 South Ave Ste 404
Staten Island, NY 10314-3411
Phone
(800) 277-4680
NPI assigned
Nov 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 103732 NY Primary

Addresses

Primary practice location

1110 South Ave Ste 404
Staten Island, NY 10314-3411

Mailing address

1115 Pennan LN Unit 1023
Myrtle Beach, SC 29579-3848
Phone (631) 374-3675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0064676NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1174168439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 PENNAN LN UNIT 1023",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793848",
            "telephone_number": "631-374-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVE STE 404",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143411",
            "telephone_number": "800-277-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPNER",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-11",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.