Individual provider Active NPI

Kim Hoffman, MSW, DMHS, LICSW

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1861832065
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60677169 Issued in WA
Practice address
20006 Cedar Valley Rd Ste 115
Lynnwood, WA 98036-6478
Phone
(425) 931-2728
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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 LW60677169 WA Primary

Addresses

Primary practice location

20006 Cedar Valley Rd Ste 115
Lynnwood, WA 98036-6478

Mailing address

20006 Cedar Valley Rd Ste 115
Lynnwood, WA 98036-6478
Phone (425) 931-2728

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW60677169WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1861832065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20006 CEDAR VALLEY RD STE 115",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366478",
            "telephone_number": "425-931-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20006 CEDAR VALLEY RD STE 115",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366478",
            "telephone_number": "425-931-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "MSW, DMHS, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60677169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 7, 2019; 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.