Provider Demographics
NPI:1063895092
Name:HOFFMAN, MORGAN (CSW-PIP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:CSW-PIP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:DIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:353 FAIRMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-7375
Mailing Address - Country:US
Mailing Address - Phone:605-755-2300
Mailing Address - Fax:605-755-2310
Practice Address - Street 1:353 FAIRMONT BLVD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-7375
Practice Address - Country:US
Practice Address - Phone:605-755-2300
Practice Address - Fax:605-755-2310
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD47971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical