Individual provider Active NPI

Lynn Marie Hoffman

  • Clinical Social Worker
  • Batavia, NY
National Provider Identifier
1245397272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R040045-1 Issued in NY
Practice address
534 E Main St
Batavia, NY 14020-2740
Phone
(585) 345-0538
Fax
(585) 344-2048
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R040045-1 NY Primary

Addresses

Primary practice location

534 E Main St
Batavia, NY 14020-2740

Mailing address

534 E Main St
Batavia, NY 14020-2740
Phone (585) 345-0538

Other names 1

  • Lynn Marie Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180413000300 NY Practitioner - Clinical Social Worker 9335402965 Practice locations: Batavia, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R040045-1NYMDClinical Social Worker
040045NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245397272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202740",
            "telephone_number": "585-345-0538",
            "fax_number": "585-344-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202740",
            "telephone_number": "585-345-0538",
            "fax_number": "585-344-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040045-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "BROWN",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.