Provider Demographics
NPI:1851343594
Name:HOFFMAN, VALERIE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:VALERIE
Other - Middle Name:G
Other - Last Name:WATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LCSW
Mailing Address - Street 1:595 W GRANADA BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-5190
Mailing Address - Country:US
Mailing Address - Phone:386-677-3995
Mailing Address - Fax:386-673-0130
Practice Address - Street 1:595 W GRANADA BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-5190
Practice Address - Country:US
Practice Address - Phone:386-677-3995
Practice Address - Fax:386-673-0130
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3142101YA0400X, 101YM0800X, 101YP1600X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1017637OtherTHERAPIST ID NUMBER
FL2439104OtherAETNA PROVIDER NUMBER
FL2439104OtherAETNA PROVIDER NUMBER