Individual provider Active NPI

Corina V Lopez Hoffman

  • Social Worker
  • Westport, CT
National Provider Identifier
1578282653
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12388 Issued in CT
Practice address
55 Post Rd W
Westport, CT 06880-4235
Phone
(203) 858-2342
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12388 CT Primary

Addresses

Primary practice location

55 Post Rd W
Westport, CT 06880-4235

Mailing address

55 Post Rd W
Westport, CT 06880-4235
Phone (203) 858-2342

Other identifiers 1

IdentifierTypeStateIssuer
88325611MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL laptops Direct

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

LicenseStateTypeSpecialty
12388CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
La Casa Verde LLC CurrentSince Sep 4, 2022 Accepting new patients

Locations

55 Post Rd W
Westport, CT 06880
Phone (203) 858-2342

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1578282653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804235",
            "telephone_number": "203-858-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804235",
            "telephone_number": "203-858-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ HOFFMAN",
        "first_name": "CORINA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "12388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88325611",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptops",
            "affiliation": "N",
            "endpointDescription": "desktops",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Laptops",
            "address_1": "55 Post Rd W",
            "city": "Westport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068804235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.