Jeannine Marie Hoffmann
Individual provider Active NPI Counselor · Dudley, MA
NPI 1902106271 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1902106271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 214988 (MA)
- Practice address
- 161 W Main St
Dudley, MA 01571-3817 - Phone
- (508) 943-2944
- NPI assigned
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
340 Thompson Rd
Webster, MA 01570-1509
Phone (508) 943-5132
Hospital & facility affiliations
- Umass Memorial Health - Harrington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131206000234 | MA | Practitioner - Clinical Social Worker | 9436386091 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214988 | MA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients |
Locations
29 Pine St
Southbridge, MA 01550
Phone (508) 765-2202
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 214988 | MA | Yes |
Addresses
Primary practice location
161 W Main St
Dudley, MA 01571-3817
Mailing address
100 South St
Southbridge, MA 01550-4051
Phone (508) 943-2944
Other providers in Dudley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.