Provider Demographics
NPI:1790554798
Name:HOFFMAN, MARGOT (LMSW)
Entity Type:Individual
Prefix:
First Name:MARGOT
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GRANGER PL
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-3203
Mailing Address - Country:US
Mailing Address - Phone:716-239-1647
Mailing Address - Fax:
Practice Address - Street 1:1416 SWEET HOME RD STE 1
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2786
Practice Address - Country:US
Practice Address - Phone:716-939-1095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1190081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical