Organization Active NPI

Justin Hoffman LLC

  • Clinical Social Worker
  • Lake Wales, FL
National Provider Identifier
1225855471
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUSTIN HOFFMAN LLC
Practice address
4507 Walk in Water Rd
Lake Wales, FL 33898-7321
Phone
(095) 430-9255
NPI assigned
Sep 20, 2024
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Justin Hoffman Hoffman, LCSW
Title
Licensed Clinical Social Worker
Phone
(954) 309-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4507 Walk in Water Rd
Lake Wales, FL 33898-7321

Mailing address

4507 Walk in Water Rd
Lake Wales, FL 33898-7321
Phone (954) 309-2559

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1225855471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 WALK IN WATER RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338987321",
            "telephone_number": "954-309-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 WALK IN WATER RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338987321",
            "telephone_number": "095-430-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN HOFFMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "HOFFMAN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "954-309-2559",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.