Individual provider Active NPI

Carolyn Peltin Hoffman, LCSW

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1487278552
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15916 Issued in CA
Practice address
4622 Winnetka Cir
Woodland Hills, CA 91364-4617
Phone
(818) 383-3922
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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 15916 CA Primary

Addresses

Primary practice location

4622 Winnetka Cir
Woodland Hills, CA 91364-4617

Mailing address

4622 Winnetka Cir
Woodland Hills, CA 91364-4617
Phone (818) 383-3922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15916CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert P Kahn-Rose, Inc. CurrentSince Jan 1, 2025 Accepting new patients

Locations

30423 Canwood St
Ste 123
Agoura Hills, CA 91301
Phone (818) 385-1219

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1487278552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 WINNETKA CIR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644617",
            "telephone_number": "818-383-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 WINNETKA CIR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644617",
            "telephone_number": "818-383-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CAROLYN",
        "middle_name": "PELTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "15916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.