Provider Demographics
NPI:1679862106
Name:HUNTSBERGER, ANA (LCSW)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:HUNTSBERGER
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 1:1810 THRELKEL ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-3713
Mailing Address - Country:US
Mailing Address - Phone:775-328-2019
Mailing Address - Fax:775-525-2426
Practice Address - Street 1:1800 THRELKEL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-3713
Practice Address - Country:US
Practice Address - Phone:775-328-2019
Practice Address - Fax:775-525-2426
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5957-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV5957-COtherLICENSED CLINICAL SOCIAL WORKER