Individual provider Active NPI

Rebecca Hoffman, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1386011856
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
061018-1 Issued in NY
Practice address
25 Flatbush Ave
3Rd Floor, Rainbow Heights Club
Brooklyn, NY 11217-1101
Phone
(718) 852-5217
Fax
(718) 285-8610
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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 061018-1 NY Primary

Addresses

Primary practice location

25 Flatbush Ave
3Rd Floor, Rainbow Heights Club
Brooklyn, NY 11217-1101

Mailing address

25 Flatbush Ave
3Rd Floor
Brooklyn, NY 11217-1101
Phone (718) 852-5217

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
061018-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heights-Hill Mental Health Service SBPC Community Advisory Board, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1386011856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FLATBUSH AVE",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171101",
            "telephone_number": "718-852-5217",
            "fax_number": "718-285-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FLATBUSH AVE",
            "address_2": "3RD FLOOR, RAINBOW HEIGHTS CLUB",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171101",
            "telephone_number": "718-852-5217",
            "fax_number": "718-285-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "REBECCA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "061018-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.