Healthcare Provider Details
I. General information
NPI: 1669526638
Provider Name (Legal Business Name): KATHLEEN ANN HOFFMANN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/23/2007
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
615 WASHINGTON RD STE 302
PITTSBURGH PA
15228-1927
US
IV. Provider business mailing address
615 WASHINGTON RD STE 302
PITTSBURGH PA
15228-1927
US
V. Phone/Fax
- Phone: 412-913-8322
- Fax: 724-941-0993
- Phone: 412-913-8322
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CW013804 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: