Individual provider Active NPI

Natalie Hewitt Hoeffel, LCSW

  • Clinical Social Worker
  • Bridgeport, CT
National Provider Identifier
1649398165
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006730 Issued in CT
Practice address
238 Jewett Ave
Bridgeport, CT 06606-2845
Phone
(203) 416-1319
Fax
(203) 373-0835
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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 006730 CT Primary

Addresses

Primary practice location

238 Jewett Ave
Bridgeport, CT 06606-2845

Mailing address

238 Jewett Ave
Bridgeport, CT 06606-2845
Phone (203) 416-1319

Other identifiers 1

IdentifierTypeStateIssuer
004040655MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090714000458 CT Practitioner - Clinical Social Worker 1254483738 Practice locations: Danbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27 Hospital Ave
Suite 402
Danbury, CT 06810-5961
Phone (203) 482-6005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006730CTMDClinical Social Worker
6730CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1649398165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 JEWETT AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062845",
            "telephone_number": "203-416-1319",
            "fax_number": "203-373-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 JEWETT AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062845",
            "telephone_number": "203-416-1319",
            "fax_number": "203-373-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEFFEL",
        "first_name": "NATALIE",
        "middle_name": "HEWITT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040655",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.