=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194688200
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEGAN NICOLE HOFFMAN LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/05/2025
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 314 LOUISIANA AVE
-----------------------------------------------------
City | PERRYSBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43551-1461
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 567-331-8601
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 365
-----------------------------------------------------
City | CYGNET
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43413-0365
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-575-3447
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | S.2004735
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------