Healthcare Provider Details

I. General information

NPI: 1700015914
Provider Name (Legal Business Name): MARGARET HOFMANN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET POHLMAN MSW, LCSW

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 05/21/2021
Certification Date: 05/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9780 LANTERN RD STE 350
FISHERS IN
46037-4093
US

IV. Provider business mailing address

9780 LANTERN RD STE 350
FISHERS IN
46037-4093
US

V. Phone/Fax

Practice location:
  • Phone: 317-999-5826
  • Fax: 833-359-2482
Mailing address:
  • Phone: 317-999-5826
  • Fax: 833-359-2482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34006466A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: