MEDICARE: KATHLEEN HOFFMAN-HART LCSW PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1497698864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHLEEN HOFFMAN-HART LCSW PC

Provider Business Mailing Address
First Line	:	12 WESLEY CT
Second Line	:
City	:	WATERFORD
State	:	NY
Zip	:	12188-1432
Country	:	US
Telephone Number	:	515-364-0956
Fax Number	:

Provider Business Practice Location Address
First Line	:	306B GROOMS RD
Second Line	:
City	:	HALFMOON
State	:	NY
Zip	:	12065-6211
Country	:	US
Telephone Number	:	518-364-0956
Fax Number	:	518-357-8111

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	KATHLEEN E HOFFMAN-HART
Credential	:	LCSW
Telephone Number	:	518-364-0956

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/16/2026

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