Individual provider Active NPI

Valerie Hoffman

  • Clinical Social Worker
  • Ormond Beach, FL
National Provider Identifier
1851343594
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3142 Issued in FL
Practice address
595 W Granada Blvd
Suite H
Ormond Beach, FL 32174-5190
Phone
(386) 677-3995
Fax
(386) 673-0130
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SW3142 FL
Mental Health Counselor 101YM0800X SW3142 FL
Pastoral Counselor 101YP1600X SW3142 FL
Clinical Social Worker 1041C0700X SW3142 FL Primary

Addresses

Primary practice location

595 W Granada Blvd
Suite H
Ormond Beach, FL 32174-5190

Mailing address

595 W Granada Blvd
Suite H
Ormond Beach, FL 32174-5190
Phone (386) 677-3995

Other identifiers 2

IdentifierTypeStateIssuer
1017637OtherFLTHERAPIST ID NUMBER
2439104OtherFLAETNA PROVIDER NUMBER

Other names 1

  • Dr. Valerie G Watt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101119000802 FL Practitioner - Clinical Social Worker 5193911881 Practice locations: Ormond Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

595 W Granada Blvd
Suite H
Ormond Beach, FL 32174-5182
Phone (386) 677-3995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
National Board of Forensic Evaluators Clinical PastSince Feb 5, 1993 Accepting new patients

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1851343594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD",
            "address_2": "SUITE H",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745190",
            "telephone_number": "386-677-3995",
            "fax_number": "386-673-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD",
            "address_2": "SUITE H",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745190",
            "telephone_number": "386-677-3995",
            "fax_number": "386-673-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "VALERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SW3142",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW3142",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "SW3142",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST ID NUMBER",
            "identifier": "1017637",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2439104",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "WATT",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "PH.D., LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.