Provider Demographics
NPI:1477027365
Name:HOFFMAN-LEVINE, CATHY LYNN (LMSW)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:LYNN
Last Name:HOFFMAN-LEVINE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 WOODMERE BLVD S
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1822
Mailing Address - Country:US
Mailing Address - Phone:516-375-3979
Mailing Address - Fax:
Practice Address - Street 1:158 WOODMERE BLVD S
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1822
Practice Address - Country:US
Practice Address - Phone:516-375-3979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102285-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker