Healthcare Provider Details

I. General information

NPI: 1083573679
Provider Name (Legal Business Name): SHERRY HOFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 BENEDICT CANYON DR
BEVERLY HILLS CA
90210-2003
US

IV. Provider business mailing address

1670 BENEDICT CANYON DR
BEVERLY HILLS CA
90210-2003
US

V. Phone/Fax

Practice location:
  • Phone: 818-693-1059
  • Fax: 818-777-1059
Mailing address:
  • Phone: 818-693-1059
  • Fax: 818-666-7759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS9246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: