Provider Demographics
NPI:1245933415
Name:REILLY HUNT, ASHLEE N (LMSW)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:N
Last Name:REILLY HUNT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 BROADWAY
Mailing Address - Street 2:2ND FL #107
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2562
Mailing Address - Country:US
Mailing Address - Phone:917-397-2928
Mailing Address - Fax:
Practice Address - Street 1:447 BROADWAY
Practice Address - Street 2:2ND FL #107
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2562
Practice Address - Country:US
Practice Address - Phone:917-397-2928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06922700104100000X
CT6918104100000X
NY119199-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker