Provider Demographics
NPI:1801971155
Name:HOFFMAN, CAROLE EILEEN (MSW LCSW CSADC)
Entity type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:EILEEN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MSW LCSW CSADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 GLENSHIRE ROAD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-4013
Mailing Address - Country:US
Mailing Address - Phone:847-724-6539
Mailing Address - Fax:847-795-2847
Practice Address - Street 1:701 LEE STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4543
Practice Address - Country:US
Practice Address - Phone:847-795-2842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1916101YA0400X
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical