Healthcare Provider Details

I. General information

NPI: 1679895551
Provider Name (Legal Business Name): AMY BETH HOSTINSKY LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22720 WOODWARD AVE SUITE 205
FERNDALE MI
48220-2920
US

IV. Provider business mailing address

22720 WOODWARD AVE SUITE 205
FERNDALE MI
48220-2920
US

V. Phone/Fax

Practice location:
  • Phone: 248-399-8032
  • Fax:
Mailing address:
  • Phone: 248-399-8032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801093769
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: