Provider Demographics
NPI:1255548780
Name:HUNTER, STEVEN GLENN (MSW,LCSW)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:GLENN
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 RIDGEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-5927
Mailing Address - Country:US
Mailing Address - Phone:847-755-8018
Mailing Address - Fax:847-755-8543
Practice Address - Street 1:125 E LAKE ST STE 206
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1117
Practice Address - Country:US
Practice Address - Phone:847-755-8018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical