Provider Demographics
NPI:1912102765
Name:HOSKIN, AMY MARIE (LBSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:HOSKIN
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MARIE
Other - Last Name:CERVANTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBSW
Mailing Address - Street 1:1032 MARYLAND ST
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1347
Mailing Address - Country:US
Mailing Address - Phone:313-460-4772
Mailing Address - Fax:
Practice Address - Street 1:101 E ALEXANDRINE ST
Practice Address - Street 2:DDS
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2011
Practice Address - Country:US
Practice Address - Phone:313-460-4772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker