NPIMap

Organization Active NPI

The Center for Neurodiversity, LLC

Doing business as The Center for Neurodiversity: Learning, Teaching, Research & Support,

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1700249737
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60443442 Issued in WA
Legal business name
THE CENTER FOR NEURODIVERSITY, LLC
Doing business as
The Center for Neurodiversity: Learning, Teaching, Research & Support,
Practice address
20006 Cedar Valley Rd
Suite 101E
Lynnwood, WA 98036-6334
Phone
(425) 931-2728
NPI assigned
Mar 29, 2016
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Kim Hoffman, MSW, DMHS, LICSWANPI 1861832065
Title
Owner
Phone
(425) 931-2728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60443442 WA Primary

Addresses

Primary practice location

20006 Cedar Valley Rd
Suite 101E
Lynnwood, WA 98036-6334

Mailing address

20006 Cedar Valley Rd
Suite 101E
Lynnwood, WA 98036
Phone (425) 931-2728

Other names 1

  • The Center for Neurodiversity: Learning, Teaching, Research & Support, Doing business as

National Provider Directory

National Provider Directory

Locations

20006 Cedar Valley Rd
Ste 101E
Lynnwood, WA 98036
Phone (425) 931-2728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1700249737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20006 CEDAR VALLEY RD",
            "address_2": "SUITE 101E",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-931-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20006 CEDAR VALLEY RD",
            "address_2": "SUITE 101E",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366334",
            "telephone_number": "425-931-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR NEURODIVERSITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-931-2728",
        "authorized_official_credential": "MSW, DMHS, LICSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60443442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Neurodiversity: Learning, Teaching, Research & Support,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.