Provider Demographics
NPI:1881848802
Name:HOFFMEISTER, KATHRYN G (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:G
Last Name:HOFFMEISTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:G
Other - Last Name:KOCHERSBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:47-49 STOCKTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:NY
Mailing Address - Zip Code:13856
Mailing Address - Country:US
Mailing Address - Phone:607-865-4116
Mailing Address - Fax:607-865-8568
Practice Address - Street 1:47-49 STOCKTON AVENUE
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:NY
Practice Address - Zip Code:13856
Practice Address - Country:US
Practice Address - Phone:607-865-4116
Practice Address - Fax:607-865-8568
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080517LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical