Healthcare Provider Details

I. General information

NPI: 1336556901
Provider Name (Legal Business Name): AMY WEEKS-COFFIELD LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY WEEKS MSW

II. Dates (important events)

Enumeration Date: 07/16/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 OLD ROCHESTER RD STE 106
DOVER NH
03820-2028
US

IV. Provider business mailing address

6 OLD ROCHESTER ROAD SUITE 106
DOVER NH
03820
US

V. Phone/Fax

Practice location:
  • Phone: 603-770-9937
  • Fax: 603-743-3244
Mailing address:
  • Phone: 603-770-9937
  • Fax: 603-743-3244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1946
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: