Active NPI
Philip Howard Hoffman, LCSW
- Clinical Social Worker
- Colton, CA
National Provider Identifier
1831296516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 13070
- Practice address
- 1430 E Cooley Dr Ste 111
Colton, CA 92324-3944 - Phone
- (909) 825-5128
- Fax
- (909) 825-8568
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 13070 | CA | Primary |
Addresses
Primary practice location
1430 E Cooley Dr Ste 111
Colton, CA 92324-3944
Mailing address
1430 E Cooley Dr Ste 111
Colton, CA 92324-3944
Phone (909) 825-5128
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 13070 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831296516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 E COOLEY DR STE 111",
"city": "COLTON",
"state": "CA",
"postal_code": "923243944",
"telephone_number": "909-825-5128",
"fax_number": "909-825-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 E COOLEY DR STE 111",
"city": "COLTON",
"state": "CA",
"postal_code": "923243944",
"telephone_number": "909-825-5128",
"fax_number": "909-825-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "PHILIP",
"middle_name": "HOWARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 13070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.