Healthcare Provider Details

I. General information

NPI: 1003747056
Provider Name (Legal Business Name): PAT HURT LICENSED CLINICAL SOCIAL WORKER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4118 S DEMAREE ST
VISALIA CA
93277-9514
US

IV. Provider business mailing address

100 N AKERS ST # 7596
VISALIA CA
93291-5121
US

V. Phone/Fax

Practice location:
  • Phone: 559-372-7758
  • Fax: 559-372-7758
Mailing address:
  • Phone: 559-372-7758
  • Fax: 559-372-7758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PATRICIA ANN HURT
Title or Position: RESPONSIBLE PARTY
Credential: LCSW
Phone: 559-372-7758