Provider Demographics
NPI:1811417728
Name:HOFFMAN, MEGAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name: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 1:601 SKOKIE BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2819
Mailing Address - Country:US
Mailing Address - Phone:847-686-2889
Mailing Address - Fax:
Practice Address - Street 1:601 SKOKIE BLVD STE 301
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2819
Practice Address - Country:US
Practice Address - Phone:847-768-6288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2023-10-11
Deactivation Date:2018-01-14
Deactivation Code:
Reactivation Date:2021-07-09
Provider Licenses
StateLicense IDTaxonomies
IL149.0190761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical