Shannon Hoff-Smith, LISW LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2304658 Issued in OH

Practice address

2115 W Park Dr
Lorain, OH 44053

Phone

(440) 989-4900

NPI assigned

May 18, 2018

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riveon Mental Health and Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lorain, OH
  • NPI 1841268281
  Medicare reassignment

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1518457175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 W PARK DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 W PARK DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-989-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFF-SMITH",
        "first_name": "SHANNON",
        "credential": "LISW LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161994",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0387572",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anansa Chivon Hinton
• Falisha Marie Hiser, CPRS
• Brenda Hitchens
• Kiefer Hock, MD
• Zachary Dylan Hodge
• Matthew Hogue-Smith
• Andrea Lynn Holcomb
• Jessica Marie Holcomb, OTR/L
• Wes J Holiday, D.O
• Amanda Holland

• Clinical Social Worker in Lorain, OH
• Providers in Lorain, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.