| Penny Denise Hoffman, LCSW | |
| 
					1765 Goucher St, Johnstown, PA 15905-1101  | |
| (814) 535-8586 | |
| (814) 254-4170 | 
| Full Name | Penny Denise Hoffman | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1765 Goucher St, Johnstown, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770505034 | NPI | - | NPPES | 
| 1000001750065 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW019580 (Pennsylvania) | Primary | 
| Entity Name | Penny D. Hoffman Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619675386 PECOS PAC ID: 1951776665 Enrollment ID: O20230411003001  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Penny Denise Hoffman, LCSW 1765 Goucher St, Johnstown, PA 15905-1101 Ph: (814) 535-8586  | Penny Denise Hoffman, LCSW 1765 Goucher St, Johnstown, PA 15905-1101 Ph: (814) 535-8586  | 
Shannon Berkey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 865 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-4922  | |
Jodi Hockenberry, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 865 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-4922  | |
Ms. Alane J Knapp, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 320 Main St, 2nd Fl, Johnstown, PA 15901 Phone: 814-534-6163 Fax: 814-534-6145  | |
Mrs. Carlene Dawn Gibson, MSW, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 307 Market Street, Family Therapy Services, Johnstown, PA 15901 Phone: 814-254-4351  | |
Mark B Harshberger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 214 College Park Plaza, Johnstown, PA 15904 Phone: 814-262-0025 Fax: 814-266-8745  | |
Ms. Athena Gavaris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 Main Street, 2nd Floor, Johnstown, PA 15901 Phone: 814-534-1095 Fax: 914-534-6145  | |
Debra Phillips, CW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 865 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176  |