Healthcare Provider Details

I. General information

NPI: 1417925777
Provider Name (Legal Business Name): THOMPSI M HOFF LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 N MILITARY TRL
RIVIERA BEACH FL
33410-7417
US

IV. Provider business mailing address

1034 MANOR DR
LAKE WORTH FL
33461-2943
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-7503
  • Fax:
Mailing address:
  • Phone: 561-801-3274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW7947
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: