Provider Demographics
NPI:1679583868
Name:HUNT, MARGARET LYS (LICSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LYS
Last Name:HUNT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 REGENCY PLZ
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-3160
Mailing Address - Country:US
Mailing Address - Phone:401-744-9362
Mailing Address - Fax:
Practice Address - Street 1:2 REGENCY PLZ
Practice Address - Street 2:SUITE 4
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-3160
Practice Address - Country:US
Practice Address - Phone:401-744-9362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW017191041C0700X
MA1108111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical