Individual provider Active NPI

Jennifer Faith Hoffman, LCSW

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1487775995
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005921 Issued in CT
Practice address
361 Park Rd Ste 203
West Hartford, CT 06119-1911
Phone
(860) 680-5289
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 005921 CT Primary

Addresses

Primary practice location

361 Park Rd Ste 203
West Hartford, CT 06119-1911

Mailing address

361 Park Rd Ste 203
West Hartford, CT 06119-1911
Phone (860) 680-5289

Other practice location 1

674 Prospect Ave
3rd Floor
Hartford, CT 06105-4288
Phone (860) 680-5289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 14, 2024 through Nov 14, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005921CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J Hoffman Therapy LLC Clinical CurrentSince Jan 19, 2020 Accepting new patients

Locations

361 Park Rd
Ste 203
West Hartford, CT 06119
Phone (860) 680-5289

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1487775995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 PARK RD STE 203",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191911",
            "telephone_number": "860-680-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 PARK RD STE 203",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191911",
            "telephone_number": "860-680-5289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "674 Prospect Ave",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061054288",
            "country_code": "US",
            "telephone_number": "860-680-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JENNIFER",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.