Healthcare Provider Details

I. General information

NPI: 1033357710
Provider Name (Legal Business Name): KATHLEEN E HOFFMAN-HART LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2009
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 B
HALFMOON NY
12065
US

IV. Provider business mailing address

12 WESLEY CT
WATERFORD NY
12188-1432
US

V. Phone/Fax

Practice location:
  • Phone: 518-364-0956
  • Fax: 518-357-8111
Mailing address:
  • Phone: 518-364-0956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number074125
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: