Healthcare Provider Details

I. General information

NPI: 1033661392
Provider Name (Legal Business Name): AMBER HOJNACKI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2016
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E LIBERTY ST STE 300A
ANN ARBOR MI
48104-2163
US

IV. Provider business mailing address

120 E LIBERTY ST STE 300A
ANN ARBOR MI
48104-2163
US

V. Phone/Fax

Practice location:
  • Phone: 734-330-9136
  • Fax: 734-544-6716
Mailing address:
  • Phone: 734-330-9136
  • Fax: 734-544-6716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801100183
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: