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1013488618 NPI number — MICHAEL GERARD HOFFMANN BSW, CADC-III, ICADC

NPI Number: 1013488618
Health Care Provider/Practitioner: MICHAEL GERARD HOFFMANN BSW, CADC-III, ICADC

Information about “1013488618” NPI (MICHAEL GERARD HOFFMANN BSW, CADC-III, ICADC) exists in 1013488618 in HTML format HTML  |  1013488618 in plain Text format TXT  |  1013488618 in PDF (Portable Document Format) PDF  |  1013488618 in an XML format XML  formats.

NPI Number : 1013488618 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013488618",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOFFMANN",
    "FirstName": "MICHAEL",
    "MiddleName": "GERARD",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BSW, CADC-III, ICADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11228 FAIR OAKS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIR OAKS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95628-5139",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-962-2800",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11228 FAIR OAKS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIR OAKS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95628-5139",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-962-2800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/08/2018",
    "LastUpdateDate": "06/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "B001230819",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "CI21340119",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": "B001230819",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "172V00000X",
          "TaxonomyName": "Community Health Worker",
          "LicenseNumber": "B001230819",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225400000X",
          "TaxonomyName": "Rehabilitation Practitioner",
          "LicenseNumber": "B001230819",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "B001230819",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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