Provider Demographics
NPI:1619511136
Name:DOSTER-HOFFMAN, KARISSA ELAINE (LCSW)
Entity Type:Individual
Prefix:
First Name:KARISSA
Middle Name:ELAINE
Last Name:DOSTER-HOFFMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 CRIMSON CIRCLE
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207
Mailing Address - Country:US
Mailing Address - Phone:404-670-2423
Mailing Address - Fax:
Practice Address - Street 1:50 S STEELE ST STE 435
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2809
Practice Address - Country:US
Practice Address - Phone:844-888-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63882104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker