Provider Demographics
NPI:1972200350
Name:HOUSEMAN, AMY N (LSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:N
Last Name:HOUSEMAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 PYLE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45113-9386
Mailing Address - Country:US
Mailing Address - Phone:281-888-8704
Mailing Address - Fax:
Practice Address - Street 1:24865 US HIGHWAY 23 S STE A
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-9189
Practice Address - Country:US
Practice Address - Phone:281-888-8704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker