Active NPI
Christine M Hoffman, LCSW
- Clinical Social Worker
- San Tan Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13909
- Practice address
- 1668 E Pollino St
San Tan Valley, AZ 85140-7861 - Phone
- (480) 734-3391
- Fax
- (602) 641-8483
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13909 | AZ | Primary |
Addresses
Primary practice location
1668 E Pollino St
San Tan Valley, AZ 85140-7861
Mailing address
1668 E Pollino St
San Tan Valley, AZ 85140-7861
Phone (480) 734-3391
Other practice location 1
1206 E Warner Rd
Gilbert, AZ 85296-3132
Phone (480) 734-3391
Other names 1
- Christine Pahl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1668 E Pollino St
San Tan Valley, AZ 85140-7861
Phone (480) 731-3391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13909 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Space Psychotherapy LLC | Clinical | Current | Accepting new patients |
| Southwest Behavioral Health Services, Inc. | Past | Accepting new patients | |
| Southwest Behavioral Health Services, Inc | Past | Accepting new patients | |
| Southwest Behavioral Health | Past | Accepting new patients |
Locations
1206 E Warner Rd
Ste 101D
Gilbert, AZ 85296
Phone (480) 220-5864
3651 E Baseline Rd
Ste E222
Gilbert, AZ 85234
Phone (480) 432-3567
85 W Combs Rd
Ste 101
San Tan Valley, AZ 85140
Phone (480) 639-9359
Organizations & group practices 4
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.
-
- Clinical Social Worker
- San Tan Valley, AZ
- NPI 1306431754
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1023023603
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flagstaff, AZ
- NPI 1316170368
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1407165392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1558657296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1668 E POLLINO ST",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407861",
"telephone_number": "480-734-3391",
"fax_number": "602-641-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1668 E POLLINO ST",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407861",
"telephone_number": "480-734-3391",
"fax_number": "602-641-8483"
}
],
"practiceLocations": [
{
"address_1": "1206 E Warner Rd",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852963132",
"country_code": "US",
"telephone_number": "480-734-3391",
"fax_number": "602-641-8483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMAN",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "13909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "PAHL",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.