Healthcare Provider Details

I. General information

NPI: 1134472061
Provider Name (Legal Business Name): AMIE HOFFMAN L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2012
Last Update Date: 07/08/2022
Certification Date: 07/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1908 JEFFERSON AVE
LEWISBURG PA
17837-1635
US

IV. Provider business mailing address

1908 JEFFERSON AVE
LEWISBURG PA
17837-1635
US

V. Phone/Fax

Practice location:
  • Phone: 570-337-3332
  • Fax:
Mailing address:
  • Phone: 570-373-3332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW126347
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017518
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: