Healthcare Provider Details

I. General information

NPI: 1750265971
Provider Name (Legal Business Name): SHANIKA HUNTER LCSW
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W UNIVERSITY DR STE 1
MESA AZ
85201-5633
US

IV. Provider business mailing address

2633 E INDIAN SCHOOL RD STE 250
PHOENIX AZ
85016-0703
US

V. Phone/Fax

Practice location:
  • Phone: 602-492-1010
  • Fax: 888-434-5444
Mailing address:
  • Phone: 602-492-1010
  • Fax: 888-434-5444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateAZ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: