Provider Demographics
NPI:1205013778
Name:HOFFMAN, PEGGY A (MSSW, LCSW, LMFT)
Entity Type:Individual
Prefix:MS
First Name:PEGGY
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MSSW, LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 FRANKFORT AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-2026
Mailing Address - Country:US
Mailing Address - Phone:502-435-4637
Mailing Address - Fax:
Practice Address - Street 1:1931 FRANKFORT AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2026
Practice Address - Country:US
Practice Address - Phone:502-435-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3891041C0700X
KY0105106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist