Individual provider Active NPI

Nancy Hoback, LCSW

  • Clinical Social Worker
  • La Porte, IN
National Provider Identifier
1457483596
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004167A Issued in IN
Practice address
245 W Johnson Rd
La Porte, IN 46350-2026
Phone
(219) 369-4870
Fax
(219) 369-4948
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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 34004167A IN Primary

Addresses

Primary practice location

245 W Johnson Rd
La Porte, IN 46350-2026

Mailing address

245 W Johnson Rd
Suite 2
La Porte, IN 46350-2026
Phone (219) 369-4870

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
I20110414000554 IN Practitioner - Clinical Social Worker 2668656760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

245 W Johnson Rd
Suite 2
La Porte, IN 46350-2026
Phone (219) 369-4870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004167AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 17, 2023 Accepting new patients
Hoback Counseling LLC Clinical CurrentSince Feb 7, 2011 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

245 W Johnson Rd
#2
La Porte, IN 46350
Phone (219) 369-4870

245 W Johnson Rd
Laporte, IN 46350
Phone (219) 258-4163

Organizations & group practices 2

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1457483596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W JOHNSON RD",
            "address_2": "SUITE 2",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502026",
            "telephone_number": "219-369-4870",
            "fax_number": "219-369-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W JOHNSON RD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502026",
            "telephone_number": "219-369-4870",
            "fax_number": "219-369-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBACK",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004167A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.