Provider Demographics
NPI:1003688797
Name:HUNSAKER, LINNEA MIRETTE (JD, LMSW)
Entity Type:Individual
Prefix:
First Name:LINNEA
Middle Name:MIRETTE
Last Name:HUNSAKER
Suffix:
Gender:F
Credentials:JD, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 LOIS ST
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-7636
Mailing Address - Country:US
Mailing Address - Phone:814-218-0958
Mailing Address - Fax:
Practice Address - Street 1:589 SHOUP AVE W
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-5030
Practice Address - Country:US
Practice Address - Phone:208-734-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-42709104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker