Individual provider Active NPI

Gabriel M Hofkins, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1255867156
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-40452 Issued in ID
Practice address
300 S 23Rd St
Boise, ID 83702-9100
Phone
(208) 345-1170
Fax
(208) 466-5359
NPI assigned
May 11, 2017
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 LCSW-40452 ID Primary

Addresses

Primary practice location

300 S 23Rd St
Boise, ID 83702-9100

Mailing address

PO Box 9
Nampa, ID 83653-0009
Phone (208) 345-1170

Other practice location 1

1504 3rd St N
Nampa, ID 83687-4035
Phone (208) 345-1170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20210316000520 ID Practitioner - Clinical Social Worker 7719393883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Clinics IncGroup PAC ID 4082527353, 75 clinicians

Practice addresses (Care Compare)

300 S 23Rd St
Boise, ID 83702-9100
Phone (208) 344-3512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-40452IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Clinics, Inc. Current Accepting new patients
Community Health Clinics, Inc. Social Worker CurrentSince Feb 16, 2021 Accepting new patients
Community Health Clinics, Inc. Social Worker CurrentSince Feb 16, 2021 Accepting new patients
Community Health Clinics, Inc. Social Worker Past Accepting new patients

Locations

300 S 23rd St
Boise, ID 83702
Phone (208) 344-3512

2005 Arlington Ave
Caldwell, ID 83605
Phone (208) 454-2035

524 Cleveland Blvd
Ste 180
Caldwell, ID 83605
Phone (208) 323-9600

150 2nd St
Melba, ID 83641
Phone (208) 495-1011

3115 E Florence Dr
Meridian, ID 83642
Phone (208) 378-4288

156 McClure Ave
Nampa, ID 83651
Phone (208) 278-8942

1504 3rd St N
Nampa, ID 83687
Phone (208) 345-1170

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255867156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-345-1170",
            "fax_number": "208-345-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 23RD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837029100",
            "telephone_number": "208-345-1170",
            "fax_number": "208-466-5359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 3rd St N",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836874035",
            "country_code": "US",
            "telephone_number": "208-345-1170",
            "fax_number": "308-345-3502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFKINS",
        "first_name": "GABRIEL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-40452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.