Provider Demographics
NPI:1073536918
Name:HOFFMAN, SUSAN P (LCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:P
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3441 MAGAZINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2446
Mailing Address - Country:US
Mailing Address - Phone:504-891-8808
Mailing Address - Fax:504-891-8883
Practice Address - Street 1:3441 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2446
Practice Address - Country:US
Practice Address - Phone:504-891-8808
Practice Address - Fax:504-891-8883
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA46131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1439584Medicaid
LA1439584Medicaid
P04513Medicare UPIN
LA4B419Medicare PIN