Healthcare Provider Details

I. General information

NPI: 1861955122
Provider Name (Legal Business Name): JOSEPH CURTIS HOFFMAN LICSW, LADC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 04/16/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 6TH AVE N
SAINT CLOUD MN
56303-1900
US

IV. Provider business mailing address

713 ANDERSON AVE
SAINT CLOUD MN
56303-2048
US

V. Phone/Fax

Practice location:
  • Phone: 320-251-2700
  • Fax: 320-229-3763
Mailing address:
  • Phone: 320-229-3760
  • Fax: 320-229-3763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number303882
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27219
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: