Provider Demographics
NPI:1891913521
Name:HOFBAUER, JOY ANITA (LCSW)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:ANITA
Last Name:HOFBAUER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:LEPERE
Other - Last Name:HOFBAUER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:22 N WILMARTH RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-9775
Mailing Address - Country:US
Mailing Address - Phone:585-381-4138
Mailing Address - Fax:
Practice Address - Street 1:496 WHITE SPRUCE BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1608
Practice Address - Country:US
Practice Address - Phone:585-246-7030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR026401-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical