Provider Demographics
NPI:1477436434
Name:HOFMANN, LATESHA (LMSW)
Entity type:Individual
Prefix:
First Name:LATESHA
Middle Name:
Last Name:HOFMANN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LATESHA
Other - Middle Name:
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2158 STOBTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-7390
Mailing Address - Country:US
Mailing Address - Phone:580-504-9479
Mailing Address - Fax:
Practice Address - Street 1:333 W MAIN ST STE 290
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-6330
Practice Address - Country:US
Practice Address - Phone:580-504-9479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK21724-P104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker