Provider Demographics
NPI:1861832065
Name:HOFFMAN, KIM (MSW, DMHS, LICSW)
Entity Type:Individual
Prefix:MS
First Name:KIM
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MSW, DMHS, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20006 CEDAR VALLEY RD STE 115
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6478
Mailing Address - Country:US
Mailing Address - Phone:425-931-2728
Mailing Address - Fax:
Practice Address - Street 1:20006 CEDAR VALLEY RD STE 115
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6478
Practice Address - Country:US
Practice Address - Phone:425-931-2728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW606771691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical