Provider Demographics
NPI:1487349650
Name:HOFFMAN, LISA (LCSW, CAADC, CTP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LCSW, CAADC, CTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:COCHRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:16314-8633
Mailing Address - Country:US
Mailing Address - Phone:724-650-6711
Mailing Address - Fax:
Practice Address - Street 1:1010 BRODHEAD RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108
Practice Address - Country:US
Practice Address - Phone:412-339-1982
Practice Address - Fax:412-754-3088
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0251041041C0700X
PASW139053104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker