Provider Demographics
NPI:1821324757
Name:HOFMANN, JULIE M (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:M
Last Name:HOFMANN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:M
Other - Last Name:KOGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:57 CHIPPENHAM DR
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-1968
Mailing Address - Country:US
Mailing Address - Phone:585-737-5490
Mailing Address - Fax:
Practice Address - Street 1:600 PARK AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2926
Practice Address - Country:US
Practice Address - Phone:585-902-9450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07464511041C0700X
NY074645-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical