Individual
CHRISTIE MICHELLE HUNNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,LCSW,MSW,BSW
Contact information
Practice address
402 E MAIN ST, SECOND FLOOR, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 755-1447
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006181
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004263951
—
CT
01
—
060669107
UBH/ UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT
01
—
10450310-402 E MAIN
BEACON HEALTH STRATEGIES, INC.
CT
01
—
11652959
CAQH
CT
01
—
2655693
CIGNA BEHAVIORAL HEALTH WELLMORE
CT
01
—
470744
MHN MANAGED HEALTH NETWORK WELLMORE
CT
01
—
470744 PENDING
MHN TRICARENORTH WELLMORE
CT
01
—
9235368
AETNA BEHAVIORAL HEALTH WELLMORE
CT
Enumeration date
08/24/2006
Last updated
04/01/2019
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