MEDICARE: MS. MERYL HOFFMAN-PAGAN LCSW

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	LCSW 23422	CA

General Provider Information

NPI Number	:	1811058142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MERYL HOFFMAN-PAGAN LCSW

Provider Business Mailing Address
First Line	:	242 PEBBLECREEK CT
Second Line	:
City	:	MARTINEZ
State	:	CA
Zip	:	94553-6806
Country	:	US
Telephone Number	:	925-229-2262
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 BECK AVE
Second Line	:	MS 5-230
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-6804
Country	:	US
Telephone Number	:	707-784-8492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	01/03/2022

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