Kiersen Hoffacker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9018 Issued in TN

Practice address

1431 Mohawk TRL
Madison, TN 37115-5605

Phone

(717) 451-9142

NPI assigned

Aug 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1871267518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281351",
            "telephone_number": "615-320-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 MOHAWK TRL",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155605",
            "telephone_number": "717-451-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFACKER",
        "first_name": "KIERSEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000012955",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Lynne Hinerman, LCSW
• Lana C Hirsch, CNM
• Shelley O. Hix, OT
• Lauren E Hoard, AGACNP-BC
• Eric Hobby
• Clarence-Austin Josiah Hogan, DDS
• Ann Hohl, CRNA
• Collins V Hohne, LMT
• Holloway Medical Equipment Inc
• Lester Grant Holman

• Clinical Social Worker in Madison, TN
• Providers in Madison, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.