Healthcare Provider Details

I. General information

NPI: 1467553099
Provider Name (Legal Business Name): CHERYL HOFFMANN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WEST AVE SUITE 205
SARATOGA SPRINGS NY
12866-6045
US

IV. Provider business mailing address

1 WEST AVE SUITE 205
SARATOGA SPRINGS NY
12866-6045
US

V. Phone/Fax

Practice location:
  • Phone: 518-581-8699
  • Fax: 518-581-8783
Mailing address:
  • Phone: 518-581-8699
  • Fax: 518-581-8783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPRO16259-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: