Individual provider Active NPI

Christine M Hoffman, LCSW

  • Clinical Social Worker
  • San Tan Valley, AZ
National Provider Identifier
1558657296
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13909 Issued in AZ
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

Updated by the provider on May 9, 2023

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 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140314000987 AZ Practitioner - Clinical Social Worker 4284865296 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
13909AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Space Psychotherapy LLC Clinical CurrentSince Mar 5, 2024 Accepting new patients
Southwest Behavioral Health Services, Inc. PastSince Sep 5, 2023 Accepting new patients
Southwest Behavioral Health Services, Inc PastSince Jul 13, 2025 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.

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

Verify at the official NPI Registry.