Healthcare Provider Details

I. General information

NPI: 1194207696
Provider Name (Legal Business Name): AMBER HOFF LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2018
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 S DOWNING ST
DENVER CO
80210-5800
US

IV. Provider business mailing address

3531 S LOGAN ST STE D149
ENGLEWOOD CO
80113
US

V. Phone/Fax

Practice location:
  • Phone: 720-795-4773
  • Fax:
Mailing address:
  • Phone: 908-875-4821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09925315
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: