Active NPI
Benjamin Richard Hoffman, MSW, LISW-S
- Social Worker
- Perrysburg, OH
National Provider Identifier
1275064032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.1700235
- Practice address
- 12623 Eckel Junction Rd
Perrysburg, OH 43551-1304 - Phone
- (419) 262-9570
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I.1700235 | OH | Primary |
Addresses
Primary practice location
12623 Eckel Junction Rd
Perrysburg, OH 43551-1304
Mailing address
12623 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone (419) 262-9570
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1700235 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1275064032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12623 ECKEL JUNCTION RD",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511304",
"telephone_number": "419-262-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12623 ECKEL JUNCTION RD",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511304",
"telephone_number": "419-262-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "BENJAMIN",
"middle_name": "RICHARD",
"credential": "MSW, LISW-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.1700235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.