MEDICARE: MS. AMY BETH HOSTINSKY LLMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801093769	MI
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1679895551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY BETH HOSTINSKY LLMSW

Provider Business Mailing Address
First Line	:	22720 WOODWARD AVE
Second Line	:	SUITE 205
City	:	FERNDALE
State	:	MI
Zip	:	48220-2920
Country	:	US
Telephone Number	:	248-399-8032
Fax Number	:

Provider Business Practice Location Address
First Line	:	22720 WOODWARD AVE
Second Line	:	SUITE 205
City	:	FERNDALE
State	:	MI
Zip	:	48220-2920
Country	:	US
Telephone Number	:	248-399-8032
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2010
Last Update Date	:	02/03/2026

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