Provider Demographics
NPI:1467950691
Name:HOFFNER, SUSAN J (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:J
Last Name:HOFFNER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 CHARTER CIR
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-6012
Mailing Address - Country:US
Mailing Address - Phone:914-762-6212
Mailing Address - Fax:
Practice Address - Street 1:172 CHARTER CIR
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-6012
Practice Address - Country:US
Practice Address - Phone:914-762-6212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-23
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR033208-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical