Active NPI
Michelle A. Hoffman, MSSA, LSW
- Social Worker
- Fort Wayne, IN
National Provider Identifier
1487870531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33005188A
- Practice address
- Lutheran Hospital- Social Services
7950 W. Jefferson Blvd.
Fort Wayne, IN 46804 - Phone
- (260) 435-7093
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33005188A | IN | Primary |
Addresses
Primary practice location
Lutheran Hospital- Social Services
7950 W. Jefferson Blvd.
Fort Wayne, IN 46804
Mailing address
5947 Brighton Meadows Dr Apt F
Fort Wayne, IN 46804-7672
Phone (260) 435-7093
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33005188A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1487870531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5947 BRIGHTON MEADOWS DR APT F",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047672",
"telephone_number": "260-435-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LUTHERAN HOSPITAL- SOCIAL SERVICES",
"address_2": "7950 W. JEFFERSON BLVD.",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46804",
"telephone_number": "260-435-7093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "MICHELLE",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "MSSA, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33005188A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.