Provider Demographics
NPI:1811281793
Name:HOFFMAN, ERICA PENN (LCSW-C)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:PENN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TROTTERS CT
Mailing Address - Street 2:APT. T4
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6709
Mailing Address - Country:US
Mailing Address - Phone:443-801-2818
Mailing Address - Fax:
Practice Address - Street 1:551 W LANCASTER AVE STE 306
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1419
Practice Address - Country:US
Practice Address - Phone:610-892-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16996101YM0800X
PACW0179311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health