Healthcare Provider Details

I. General information

NPI: 1962618132
Provider Name (Legal Business Name): ANGIE L HOFFPAUIR LICSW, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 ERICKSEN AVE NE STE 123
BAINBRIDGE ISLAND WA
98110-1877
US

IV. Provider business mailing address

793 ERICKSEN AVE NE STE 123
BAINBRIDGE ISLAND WA
98110-1877
US

V. Phone/Fax

Practice location:
  • Phone: 206-853-6852
  • Fax: 206-855-8864
Mailing address:
  • Phone: 206-853-6852
  • Fax: 206-855-8864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW7685
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT 765
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: