Provider Demographics
NPI:1346329562
Name:HUNDT, PATRICIA CAROLYN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:CAROLYN
Last Name:HUNDT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 W INNES ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4232
Mailing Address - Country:US
Mailing Address - Phone:704-637-5151
Mailing Address - Fax:704-637-1153
Practice Address - Street 1:427 W INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4232
Practice Address - Country:US
Practice Address - Phone:704-637-5151
Practice Address - Fax:704-637-1153
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0056421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical