Individual provider Active NPI

Laverne Hoffler-Duckworth, SW

  • Professional Counselor
  • Blue Bell, PA
National Provider Identifier
1174881841
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010820 Issued in PA
Practice address
325 Sentry Pkwy E BLDG 5
Blue Bell, PA 19422-2312
Phone
(267) 481-5889
NPI assigned
May 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PCO10820 PA
Professional Counselor 101YP2500X PC010820 PA Primary

Addresses

Primary practice location

325 Sentry Pkwy E BLDG 5
Blue Bell, PA 19422-2312

Mailing address

600 Germantown Pike
Lafayette Hill, PA 19444-1800
Phone (267) 781-5759

Other practice location 1

1950 Street Rd Ste 410
Bensalem, PA 19020-3752
Phone (855) 284-7483

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
PC010820PAMDProfessional Counselor
PCO10820PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peacefulstart LLC Professional Current Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

600 Germantown Pike
Lafayette Hl, PA 19444
Phone (610) 825-4450

Interoperability endpoints

  • Direct secure messaging: lavernehofflerduckworth@tdh.allscriptsdirect.net

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1174881841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GERMANTOWN PIKE",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441800",
            "telephone_number": "267-781-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SENTRY PKWY E BLDG 5",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222312",
            "telephone_number": "267-481-5889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Street Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190203752",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFLER-DUCKWORTH",
        "first_name": "LAVERNE",
        "credential": "SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PCO10820",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.