Provider Demographics
NPI:1851068241
Name:HOFFMAN, REBECCA ALEXANDRA (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:REBECCA
Middle Name:ALEXANDRA
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5708
Mailing Address - Country:US
Mailing Address - Phone:602-248-6040
Mailing Address - Fax:
Practice Address - Street 1:1500 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5708
Practice Address - Country:US
Practice Address - Phone:602-248-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker