Provider Demographics
NPI:1992221022
Name:HOFFMASTER, CHELSEA (MSW, LISW)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:HOFFMASTER
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-2774
Mailing Address - Country:US
Mailing Address - Phone:513-317-9988
Mailing Address - Fax:
Practice Address - Street 1:5151 PFEIFFER RD STE 350
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-4861
Practice Address - Country:US
Practice Address - Phone:833-358-2113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1802432104100000X
OHI.20022631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0272723Medicaid