Provider Demographics
NPI:1447481155
Name:HOFFMAN, KATRINA (LMSW)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3352 N FUTRALL DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4057
Mailing Address - Country:US
Mailing Address - Phone:479-521-1427
Mailing Address - Fax:479-521-6520
Practice Address - Street 1:400 E HIGHWAY 43
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-6514
Practice Address - Country:US
Practice Address - Phone:870-391-3871
Practice Address - Fax:870-391-3874
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker