Provider Demographics
NPI:1639394653
Name:HOFFMAN, AMY KAREN (LCSW CEAP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:KAREN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LCSW CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 W 34TH STREET
Mailing Address - Street 2:SUITE PENTHOUSE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:212-736-1805
Mailing Address - Fax:212-239-0948
Practice Address - Street 1:19 W 34TH STREET
Practice Address - Street 2:PENTHOUSE SUITE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-736-1805
Practice Address - Fax:212-239-0948
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0318381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical