Provider Demographics
NPI:1588146476
Name:HO, AMY YEE-MIN (LICSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:YEE-MIN
Last Name:HO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COLGATE RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-4016
Mailing Address - Country:US
Mailing Address - Phone:443-841-2730
Mailing Address - Fax:
Practice Address - Street 1:1 COLGATE RD
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-4016
Practice Address - Country:US
Practice Address - Phone:443-841-2730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1203771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical