Provider Demographics
NPI:1437462603
Name:HUNT, WENDY ALISIA (MA, LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:ALISIA
Last Name:HUNT
Suffix:
Gender:F
Credentials:MA, LCSW-R
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:ALISIA
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:918 PELHAM PKWY S
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-1144
Mailing Address - Country:US
Mailing Address - Phone:917-478-2414
Mailing Address - Fax:718-655-4588
Practice Address - Street 1:918 PELHAM PKWY S LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-1144
Practice Address - Country:US
Practice Address - Phone:917-478-2414
Practice Address - Fax:718-655-4588
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084834-11041C0700X
NY0867311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical