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NPI 1255841912

NPI 1255841912 : AMY L HOSTETTER LCSW : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1255841912
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    Entity Type          |    Individual 
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    Provider Name        |    AMY L HOSTETTER LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/09/2017
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    Last Update Date     |    11/28/2025
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Provider Practice Location Address
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    Address Line         |    251 W RITTENHOUSE ST APT 304 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19144-3358
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    Country              |    US
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    Telephone            |    571-594-3460
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    Fax                  |    855-582-1550
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Provider Business Mailing Address
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    Address Line         |    251 W RITTENHOUSE ST APT 304 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19144-3358
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    Country              |    US
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    Telephone            |    571-594-3460
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    Fax                  |    855-582-1550
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    CW020455
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    License Number State |    PA
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