Provider Demographics
NPI:1720094972
Name:HOFFMIER, ELIZABETH GILLAM (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GILLAM
Last Name:HOFFMIER
Suffix:
Gender:F
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:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-0088
Mailing Address - Country:US
Mailing Address - Phone:252-441-7053
Mailing Address - Fax:252-441-0760
Practice Address - Street 1:119 W WOOD HILL DR STE 5
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8700
Practice Address - Country:US
Practice Address - Phone:252-441-7053
Practice Address - Fax:252-441-0760
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0051071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC141V8OtherBCBS ID NUMBER
NC6106109Medicaid