Provider Demographics
NPI:1336556901
Name:WEEKS-COFFIELD, AMY (LICSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:WEEKS-COFFIELD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:WEEKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:6 OLD ROCHESTER ROAD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820
Mailing Address - Country:US
Mailing Address - Phone:603-770-9937
Mailing Address - Fax:603-743-3244
Practice Address - Street 1:6 OLD ROCHESTER RD STE 106
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2028
Practice Address - Country:US
Practice Address - Phone:603-770-9937
Practice Address - Fax:603-743-3244
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH19461041C0700X
NH1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical