Clyde H Hoffman, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013720 Issued in PA

Practice address

2201 E State St
Hermitage, PA 16148-2727

Phone

(724) 981-7141

Fax

(724) 981-7148

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1194762385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DONATION RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251426",
            "telephone_number": "724-588-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482727",
            "telephone_number": "724-981-7141",
            "fax_number": "724-981-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CLYDE",
        "middle_name": "H",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000380",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hermitage Orthopedics and Sports Medicine, P.C.
• Hermitage Pharmacy LLC
• Emily Sara Herold
• Teresa H. Hessmann, LCSW
• Hickory Hills Family Denal
• Melinda L. Hogue, MSW, LCSW
• Cassandra Holder, DPT
• Richard Louis Holzworth, PT
• Mary Honard
• Bryan Phillip Hooks, D.O.

• Clinical Social Worker in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.