Provider Demographics
NPI:1124365168
Name:HOFFMAN TEN EYCK, MICHELLE KATHERINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:KATHERINE
Last Name:HOFFMAN TEN EYCK
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 1:6 STRAWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5524
Mailing Address - Country:US
Mailing Address - Phone:908-642-7980
Mailing Address - Fax:
Practice Address - Street 1:6 STRAWBERRY LN
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5524
Practice Address - Country:US
Practice Address - Phone:908-642-7980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054401001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical