Provider Demographics
NPI:1699329862
Name:AMOAKO, TINA (LISW-S)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:AMOAKO
Suffix:
Gender:
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 ERIE AVE STE 219
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2154
Mailing Address - Country:US
Mailing Address - Phone:347-818-5534
Mailing Address - Fax:
Practice Address - Street 1:2722 ERIE AVE STE 219
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2154
Practice Address - Country:US
Practice Address - Phone:347-818-5534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-26
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical