Healthcare Provider Details

I. General information

NPI: 1912578717
Provider Name (Legal Business Name): ANNA HUNSAKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 W 1200 N STE 400
SPRINGVILLE UT
84663-3080
US

IV. Provider business mailing address

743 W 1200 N STE 400
SPRINGVILLE UT
84663-3080
US

V. Phone/Fax

Practice location:
  • Phone: 801-209-9797
  • Fax: 801-206-3506
Mailing address:
  • Phone: 801-209-9797
  • Fax: 801-206-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12369509-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: