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NPI Code Detail

MEDICARE: MS. CAROLYN J HUNT MSW,ACSW,LCSW

MEDICARE: MS. CAROLYN J HUNT MSW,ACSW,LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34003273AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000183448OTHERINANTHEM BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
319885300OTHERINMAGELLAN

General Provider Information

NPI Number : 1922102086
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLYN J HUNT MSW,ACSW,LCSW
Provider Business Mailing Address
First Line : 850 N HARRISON ST
Second Line : C/O ANNE LAWSON - CREDENTIALING
City : WARSAW
State : IN
Zip : 46580-3163
Country : US
Telephone Number : 574-267-7169
Fax Number : 574-269-3995
Provider Business Practice Location Address
First Line : 255 N MIAMI ST
Second Line :
City : WABASH
State : IN
Zip : 46992-2705
Country : US
Telephone Number : 260-563-8446
Fax Number : 260-563-1902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2006
Last Update Date : 07/22/2008

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