Healthcare Provider Details

I. General information

NPI: 1881816965
Provider Name (Legal Business Name): JUDITH KLINE HOFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9419 LOCUST HILL RD
BETHESDA MD
20814
US

IV. Provider business mailing address

9419 LOCUST HILL RD
BETHESDA MD
20814
US

V. Phone/Fax

Practice location:
  • Phone: 301-493-4307
  • Fax:
Mailing address:
  • Phone: 301-493-4307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number03823
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: