Provider Demographics
NPI:1518327824
Name:DEBRA JANE HOEFLING-LCSW LLC
Entity Type:Organization
Organization Name:DEBRA JANE HOEFLING-LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOEFLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-200-1891
Mailing Address - Street 1:250 PINEHURST CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-8331
Mailing Address - Country:US
Mailing Address - Phone:239-200-2891
Mailing Address - Fax:
Practice Address - Street 1:1044 CASTELLO DR
Practice Address - Street 2:SUITE 210
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8901
Practice Address - Country:US
Practice Address - Phone:239-200-1891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW41091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1041C0700XOtherCLINICAL SOCIAL WORKER