Healthcare Provider Details

I. General information

NPI: 1285783456
Provider Name (Legal Business Name): ROBYN HOFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 06/01/2025
Certification Date: 06/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 BEACH RD SUITE 104
FAIRFIELD CT
06824
US

IV. Provider business mailing address

52 BEACH RD SUITE 104
FAIRFIELD CT
06824
US

V. Phone/Fax

Practice location:
  • Phone: 203-254-2000
  • Fax: 203-255-3126
Mailing address:
  • Phone: 203-254-2000
  • Fax: 203-255-3126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number004784
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: