Provider Demographics
NPI:1922102086
Name:HUNT, CAROLYN J (MSW,ACSW,LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:J
Last Name:HUNT
Suffix:
Gender:F
Credentials:MSW,ACSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 N HARRISON ST
Mailing Address - Street 2:C/O ANNE LAWSON - CREDENTIALING
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-3163
Mailing Address - Country:US
Mailing Address - Phone:574-267-7169
Mailing Address - Fax:574-269-3995
Practice Address - Street 1:255 N MIAMI ST
Practice Address - Street 2:
Practice Address - City:WABASH
Practice Address - State:IN
Practice Address - Zip Code:46992-2705
Practice Address - Country:US
Practice Address - Phone:260-563-8446
Practice Address - Fax:260-563-1902
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003273A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000183448OtherANTHEM BCBS
IN100333710Medicaid
IN19885300OtherMAGELLAN
INR37221Medicare UPIN
IN209030BMedicare ID - Type Unspecified