Provider Demographics
NPI:1821448127
Name:HOFFMAN, KAROLINE (LPCC)
Entity Type:Individual
Prefix:
First Name:KAROLINE
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 FAIRMOUNT BLVD STE 326
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3197
Mailing Address - Country:US
Mailing Address - Phone:630-948-8847
Mailing Address - Fax:
Practice Address - Street 1:2460 FAIRMOUNT BLVD STE 326
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-3197
Practice Address - Country:US
Practice Address - Phone:630-948-8847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1600321101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0074946OtherMEDICAID-ODMH
OHH130910OtherMEDICARE GROUP PTAN
OH0074861OtherMEDICAID-ODADAS
OH01-0693OtherCARF CERTIFICATION