Provider Demographics
NPI:1619482189
Name:HOSKIN, SAMANTHA ANN (LMSW, MSW)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:ANN
Last Name:HOSKIN
Suffix:
Gender:F
Credentials:LMSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9195 KINLOCH
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1828
Mailing Address - Country:US
Mailing Address - Phone:313-574-1126
Mailing Address - Fax:
Practice Address - Street 1:9195 KINLOCH
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-1828
Practice Address - Country:US
Practice Address - Phone:313-574-1126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010659231041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool