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NPI Code Detail

MEDICARE: MS. JULIE M HOFMANN LCSW-R

MEDICARE: MS. JULIE M HOFMANN LCSW-R
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
11041C0700XClinical Social Worker0746451NY
21041C0700XClinical Social Worker074645-01NY

General Provider Information

NPI Number : 1821324757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE M HOFMANN LCSW-R
Provider Business Mailing Address
First Line : 57 CHIPPENHAM DR
Second Line :
City : PENFIELD
State : NY
Zip : 14526-1968
Country : US
Telephone Number : 585-737-5490
Fax Number :
Provider Business Practice Location Address
First Line : 600 PARK AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14607-2926
Country : US
Telephone Number : 585-902-9450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2009
Last Update Date : 03/31/2023

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