Provider Demographics
NPI:1700293941
Name:HOFFMAN, DAMIEN (LCSW)
Entity Type:Individual
Prefix:
First Name:DAMIEN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1926
Mailing Address - Country:US
Mailing Address - Phone:973-219-1676
Mailing Address - Fax:
Practice Address - Street 1:100 E HANOVER AVE
Practice Address - Street 2:STE 203
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2047
Practice Address - Country:US
Practice Address - Phone:973-219-1676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055905001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical