Individual provider Active NPI

Madison Dale Hoffman, LSW

  • Social Worker
  • Minneapolis, MN
National Provider Identifier
1639637010
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
27028 Issued in MN
Practice address
2445 Park Ave
Minneapolis, MN 55404-3714
Phone
(612) 343-3265
Fax
(612) 343-3267
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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 27028 MN Primary

Addresses

Primary practice location

2445 Park Ave
Minneapolis, MN 55404-3714

Mailing address

2445 Park Ave
Minneapolis, MN 55404-3714
Phone (612) 343-3265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20231026000686 MN Practitioner - Clinical Social Worker 2567818685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Ridge Center PLLCGroup PAC ID 2365339322, 12 clinicians

Practice addresses (Care Compare)

14665 Galaxie Ave
Suite 210
Apple Valley, MN 55124-4510
Phone (952) 431-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Ridge Center PLLC CurrentSince Sep 27, 2023 Accepting new patients
MHHC Consumer Choice Inc PastSince Oct 9, 2022 Accepting new patients

Locations

14665 Galaxie Ave
Ste 210
Saint Paul, MN 55124
Phone (952) 212-2103

Organizations & group practices 2

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1639637010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043714",
            "telephone_number": "612-343-3265",
            "fax_number": "612-343-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043714",
            "telephone_number": "612-343-3265",
            "fax_number": "612-343-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MADISON",
        "middle_name": "DALE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "27028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.