Individual provider Active NPI

Carl Hufford, LCSW

  • Clinical Social Worker
  • La Porte, IN
National Provider Identifier
1396482287
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009532A Issued in IN
Practice address
804 Monroe St
La Porte, IN 46350-3511
Phone
(219) 229-0109
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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 34009532A IN Primary

Addresses

Primary practice location

804 Monroe St
La Porte, IN 46350-3511

Mailing address

804 Monroe St
La Porte, IN 46350-3511
Phone (219) 229-0109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20221021000632 IN Practitioner - Clinical Social Worker 9931575651 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Indiana Therapies CurrentSince Jul 22, 2022 Accepting new patients
Laporte County Comprehensive Mental Health Council CurrentSince Apr 15, 2023 Accepting new patients
Carl Hufford LCSW Clinical Current Accepting new patients
Compass Counseling of Northwest Indiana, LLC Past Accepting new patients

Locations

804 Monroe St
La Porte, IN 46350
Phone (219) 229-0109

7224 W 400 N
Michigan City, IN 46360
Phone (219) 879-4621

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1396482287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MONROE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503511",
            "telephone_number": "219-229-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MONROE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503511",
            "telephone_number": "219-229-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFORD",
        "first_name": "CARL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009532A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.