Healthcare Provider Details

I. General information

NPI: 1831234913
Provider Name (Legal Business Name): LINDA LOUISE HOFF-HAGENSICK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 RIDGE AVE SUITE 203
EVANSTON IL
60201-2492
US

IV. Provider business mailing address

2530 RIDGE AVE SUITE 203
EVANSTON IL
60201-2492
US

V. Phone/Fax

Practice location:
  • Phone: 847-869-6879
  • Fax: 847-689-6075
Mailing address:
  • Phone: 847-869-6879
  • Fax: 847-689-6075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: