Healthcare Provider Details

I. General information

NPI: 1285684514
Provider Name (Legal Business Name): DENISE HOFFMAN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5816 EASTMAN AVE
MIDLAND MI
48640-6792
US

IV. Provider business mailing address

1642 SEMINOLE LN
SAGINAW MI
48638-4440
US

V. Phone/Fax

Practice location:
  • Phone: 989-244-1888
  • Fax: 989-321-6544
Mailing address:
  • Phone: 989-928-0076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801058270
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: