Healthcare Provider Details

I. General information

NPI: 1528216587
Provider Name (Legal Business Name): MELISSA JULIA HOFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA JULIA SENES LCSW

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 12/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W STATE ST SUITE 303
DOYLESTOWN PA
18901-2250
US

IV. Provider business mailing address

800 W STATE ST SUITE 303
DOYLESTOWN PA
18901-2250
US

V. Phone/Fax

Practice location:
  • Phone: 215-450-2845
  • Fax:
Mailing address:
  • Phone: 215-450-2845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number076790
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017457
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: