Provider Demographics
NPI:1790981041
Name:HUNTER, JOSEPH S (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:S
Last Name:HUNTER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 HIGGINS RD
Mailing Address - Street 2:
Mailing Address - City:WYNANTSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12198-8701
Mailing Address - Country:US
Mailing Address - Phone:518-466-0337
Mailing Address - Fax:
Practice Address - Street 1:523 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1617
Practice Address - Country:US
Practice Address - Phone:518-489-7777
Practice Address - Fax:518-489-7771
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075727251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA1329Medicare ID - Type Unspecified