Provider Demographics
NPI:1912102765
Name:HOSKIN, AMY MARIE (LBSW, LLPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:HOSKIN
Suffix:
Gender:F
Credentials:LBSW, LLPC
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 1:21167 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-1609
Mailing Address - Country:US
Mailing Address - Phone:313-480-3962
Mailing Address - Fax:
Practice Address - Street 1:24500 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3182
Practice Address - Country:US
Practice Address - Phone:734-655-0051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
MI6451024339101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker