MEDICARE: AMY MARIE HOSKIN LBSW, LLPC

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	104100000X	Social Worker
2	101YM0800X	Mental Health Counselor	6451024339	MI

General Provider Information

NPI Number	:	1912102765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MARIE HOSKIN LBSW, LLPC

Provider Business Mailing Address
First Line	:	21167 COUNTRY CLUB DR
Second Line	:
City	:	HARPER WOODS
State	:	MI
Zip	:	48225-1609
Country	:	US
Telephone Number	:	313-480-3962
Fax Number	:

Provider Business Practice Location Address
First Line	:	24500 FORD RD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3182
Country	:	US
Telephone Number	:	734-655-0051
Fax Number	:

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

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	04/24/2026

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