Provider Demographics
NPI:1013925213
Name:HUNDLEY, JANE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:
Last Name:HUNDLEY
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 1:1309 HARVEST RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-5068
Mailing Address - Country:US
Mailing Address - Phone:540-529-6882
Mailing Address - Fax:540-962-3705
Practice Address - Street 1:1309 HARVEST RIDGE LN
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-5068
Practice Address - Country:US
Practice Address - Phone:540-529-6882
Practice Address - Fax:540-926-3705
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040007041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010052165Medicaid
088514OtherSENTARA, SOUTHERN HEALTH
102089000OtherMAGELLAN
2123627OtherMAMSI, MDIPA
091293OtherVALUE OPTIONS
5419250036OtherUHC/UBH
4602401OtherAETNA
VA115112OtherANTHEM, ANTHEM HEALTHKEEP