Provider Demographics
NPI:1609576446
Name:HUNT, KATHRYN G (LCSW-C)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:G
Last Name:HUNT
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5712
Mailing Address - Country:US
Mailing Address - Phone:856-630-1731
Mailing Address - Fax:
Practice Address - Street 1:1321 RIDGE RD
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5712
Practice Address - Country:US
Practice Address - Phone:856-630-1731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD218551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical