Provider Demographics
NPI:1003361387
Name:HUNSICKER, KAREN (LSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HUNSICKER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 WOODGATE LN
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3360
Mailing Address - Country:US
Mailing Address - Phone:610-630-9830
Mailing Address - Fax:
Practice Address - Street 1:5020 WOODGATE LN
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3360
Practice Address - Country:US
Practice Address - Phone:610-630-9830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW009549L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical