Individual provider Active NPI

Julie M Hofmann, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1821324757
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074645-01 Issued in NY
Practice address
600 Park Ave
Rochester, NY 14607-2926
Phone
(585) 902-9450
NPI assigned
Oct 28, 2009
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0746451 NY
Clinical Social Worker 1041C0700X 074645-01 NY Primary

Addresses

Primary practice location

600 Park Ave
Rochester, NY 14607-2926

Mailing address

57 Chippenham Dr
Penfield, NY 14526-1968
Phone (585) 737-5490

Other practice location 1

150 N Chestnut St
Rochester, NY 14604-1400
Phone (585) 602-3712

Other practice location 2

57 Chippenham Dr
Penfield, NY 14526-1968
Phone (585) 737-5490

Other names 1

  • Ms. Julie M Kogler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100104000259 NY Practitioner - Clinical Social Worker 7517008238 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

130 Allens Creek Rd
Suite 240
Rochester, NY 14618-3305
Phone (585) 737-5490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074645-01NYMDClinical Social Worker
0746451NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Graceful Grit Therapy Services, LCSW, PLLC Clinical CurrentSince Mar 2, 2024 Accepting new patients

Locations

130 Allens Creek Rd
Ste 240
Rochester, NY 14618
Phone (585) 206-2631

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1821324757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CHIPPENHAM DR",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261968",
            "telephone_number": "585-737-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072926",
            "telephone_number": "585-902-9450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146041400",
            "country_code": "US",
            "telephone_number": "585-602-3712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Chippenham Dr",
            "address_purpose": "LOCATION",
            "city": "Penfield",
            "state": "NY",
            "postal_code": "145261968",
            "country_code": "US",
            "telephone_number": "585-737-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0746451",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074645-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "KOGLER",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.