Healthcare Provider Details

I. General information

NPI: 1811417728
Provider Name (Legal Business Name): MEGAN HOFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date: 01/14/2018
Reactivation Date: 07/09/2021

III. Provider practice location address

1701 EAST LAKE AVE SUITE 280
GLENVIEW IL
60025
US

IV. Provider business mailing address

1701 EAST LAKE AVE SUITE 280
GLENVIEW IL
60025
US

V. Phone/Fax

Practice location:
  • Phone: 847-686-2889
  • Fax:
Mailing address:
  • Phone: 847-686-2889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05344300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number23436
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1490119076
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number122744
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.019076
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: