MEDICARE: MS. LAURA JOY HOFER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LSW9904	TN

General Provider Information

NPI Number	:	1336859107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA JOY HOFER LCSW

Provider Business Mailing Address
First Line	:	116 AGNES RD STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-6306
Country	:	US
Telephone Number	:	629-299-1825
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 24TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2637
Country	:	US
Telephone Number	:	615-327-4751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2022
Last Update Date	:	03/24/2026

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