Active NPI
Michael E Hofmann, LSW
- Social Worker
- Valparaiso, IN
National Provider Identifier
1366768293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33005202A
- Practice address
- 601 Wall St
Valparaiso, IN 46383-2512 - Phone
- (219) 476-4550
- Fax
- (219) 476-4560
- NPI assigned
- Apr 16, 2010
- 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 | 33005202A | IN | Primary |
Addresses
Primary practice location
601 Wall St
Valparaiso, IN 46383-2512
Mailing address
601 Wall St
Valparaiso, IN 46383-2512
Phone (219) 476-4550
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33005202A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271376000000",
"number": "1366768293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 WALL ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832512",
"telephone_number": "219-476-4550",
"fax_number": "219-476-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 WALL ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832512",
"telephone_number": "219-476-4550",
"fax_number": "219-476-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMANN",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-16",
"last_updated": "2010-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33005202A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.