Individual provider Active NPI

Wendy M Hoffman-Blank, LCSW

  • Social Worker
  • Sacramento, CA
National Provider Identifier
1366545956
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS13968 Issued in CA
Practice address
6833 Stockton Blvd
Suite 485
Sacramento, CA 95823-2372
Phone
(916) 394-0800
Fax
(916) 429-7824
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS13968 CA Primary

Addresses

Primary practice location

6833 Stockton Blvd
Suite 485
Sacramento, CA 95823-2372

Mailing address

6833 Stockton Blvd
Suite 485
Sacramento, CA 95823-2372
Phone (916) 394-0800

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS13968CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1366545956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 STOCKTON BLVD",
            "address_2": "SUITE 485",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232372",
            "telephone_number": "916-394-0800",
            "fax_number": "916-429-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 STOCKTON BLVD",
            "address_2": "SUITE 485",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232372",
            "telephone_number": "916-394-0800",
            "fax_number": "916-429-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN-BLANK",
        "first_name": "WENDY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS13968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.