Provider Demographics
NPI:1316005465
Name:HOFFMAN, PAUL M (LICSW)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:M
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 BLACKMORE ST
Mailing Address - Street 2:
Mailing Address - City:E GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-4347
Mailing Address - Country:US
Mailing Address - Phone:401-886-5128
Mailing Address - Fax:
Practice Address - Street 1:36 BLACKMORE ST
Practice Address - Street 2:
Practice Address - City:E GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-4347
Practice Address - Country:US
Practice Address - Phone:401-886-5128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW003271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical