| Mrs Breeanna Hofmann, LCSW, LMHP | |
|
2701 17th St, Rock Island, IL 61201-5351 | |
| (309) 779-2031 | |
| Not Available |
| Full Name | Mrs Breeanna Hofmann |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2701 17th St, Rock Island, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285372375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114737 (Iowa) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.021124 (Illinois) | Primary |
| Entity Name | Trinity Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568414134 PECOS PAC ID: 2264337518 Enrollment ID: O20031203000016 |
| Entity Name | The Robert Young Center For Community Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710276399 PECOS PAC ID: 4587600150 Enrollment ID: O20220303002245 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Breeanna Hofmann, LCSW, LMHP 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-2031 | Mrs Breeanna Hofmann, LCSW, LMHP 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-2031 |
Mrs. Kimberly Jo Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4703 44th St, Rock Island, IL 61201 Phone: 309-788-9581 Fax: 309-788-9608 | |
Janna Elizabeth Richards, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2800 | |
Jesse Driver Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 3rd Ave, Rock Island, IL 61201 Phone: 309-779-7500 | |
Kathryn Elizabeth Lally, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4703 44th St, Rock Island, IL 61201 Phone: 309-788-9581 | |
Nicholas Markovich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 18th St, Suite 208, Rock Island, IL 61201 Phone: 309-283-7361 Fax: 309-283-7362 | |
Rita Baugh, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Rock Island Arsenal, Gillespie St. Bldg. 131, Rock Island, IL 61299 Phone: 309-782-5143 | |
Evan Harris, LCSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 19th St Ste 102, Rock Island, IL 61201 Phone: 309-236-9553 |