| Doctor Name: | MS. LISA J HOFFMAN |
| NPI Number: | 1063551505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RLCSW |
| License Number: | R054874-1 |
| Business Practice Address: | 269 E Main St Building F Smithtown, NY - 117872832 |
| Business Phone Number: | 6318062080 |
| Business Fax Number: | 6312312022 |
| Mailing Address: | Po Box 194, LAKE GROVE |
| State: | NY |
| Postal Code: | 117550194 |
| Phone Number: | 6318062080 |
| Fax Number: | 6312312022 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R054874-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |