Healthcare Provider Details

I. General information

NPI: 1013689231
Provider Name (Legal Business Name): ANNE ELIZABETH HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2618 E DAUPHIN ST
PHILADELPHIA PA
19125-3621
US

IV. Provider business mailing address

2618 E DAUPHIN ST
PHILADELPHIA PA
19125-3621
US

V. Phone/Fax

Practice location:
  • Phone: 301-910-7062
  • Fax:
Mailing address:
  • Phone: 301-910-7062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number025536
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: