Provider Demographics
NPI:1942640578
Name:HUNT, JENNIFER L (CMSW, LIMHP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:HUNT
Suffix:
Gender:F
Credentials:CMSW, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 CORN DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4749
Mailing Address - Country:US
Mailing Address - Phone:402-708-9346
Mailing Address - Fax:
Practice Address - Street 1:2006 CORN DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4749
Practice Address - Country:US
Practice Address - Phone:402-708-9346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE19501041C0700X
225400000X
NE2977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1950OtherDHHS
NE5542OtherDHHS NE