Provider Demographics
NPI:1841396041
Name:HOFSOMMER, SARAH M (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:HOFSOMMER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:M
Other - Last Name:MOELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW, LCSW-C
Mailing Address - Street 1:6600 YORK RD STE 202A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2024
Mailing Address - Country:US
Mailing Address - Phone:443-384-7366
Mailing Address - Fax:410-637-1439
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-637-1226
Practice Address - Fax:410-637-1439
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG11725104100000X
MD143611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker