Provider Demographics
NPI:1932887882
Name:HOFFMAN, LEE (MSW; LCSW-A)
Entity Type:Individual
Prefix:MR
First Name:LEE
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MSW; LCSW-A
Other - Prefix:MR
Other - First Name:SILAS
Other - Middle Name:R LEE
Other - Last Name:HOFFMAN
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3455 PIKES PEAK DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-5434
Mailing Address - Country:US
Mailing Address - Phone:704-524-0952
Mailing Address - Fax:
Practice Address - Street 1:3455 PIKES PEAK DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-5434
Practice Address - Country:US
Practice Address - Phone:704-524-0952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0169431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical