Provider Demographics
NPI:1144628512
Name:HOFFMANN, ABIGAIL CAITLIN (MS, LMFT, LPHA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:CAITLIN
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:MS, LMFT, LPHA
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:MATHEWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT, LPHA
Mailing Address - Street 1:721 COLBY CT
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3116
Mailing Address - Country:US
Mailing Address - Phone:815-973-5392
Mailing Address - Fax:
Practice Address - Street 1:8324 SKOKIE BLVD
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2545
Practice Address - Country:US
Practice Address - Phone:847-933-0051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-16
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.000993106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist