Individual
KATHLEEN M HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW LCSW
Contact information
Practice address
60 S STOCKWELL RD, EVANSVILLE, IN 47714-0247
(812) 476-5437
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003885A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176977
ANTHEM
IN
05
—
100240880
—
IN
01
—
11490257
CAQH
IN
01
—
839090DDD
MEDICARE
IN
Enumeration date
08/16/2006
Last updated
10/09/2015
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