Provider Demographics
NPI:1265549190
Name:HUNNICUTT, CHRISTIE MICHELLE (PHD,LCSW,MSW,BSW)
Entity type:Individual
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First Name:CHRISTIE
Middle Name:MICHELLE
Last Name:HUNNICUTT
Suffix:
Gender:F
Credentials:PHD,LCSW,MSW,BSW
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Mailing Address - Street 1:141 E MAIN ST
Mailing Address - Street 2:4TH FLOOR ADMINISTRATION
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2310
Mailing Address - Country:US
Mailing Address - Phone:203-574-9000
Mailing Address - Fax:203-574-9006
Practice Address - Street 1:402 E MAIN ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-1701
Practice Address - Country:US
Practice Address - Phone:203-755-1143
Practice Address - Fax:203-755-1447
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2019-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0061811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2655693OtherCIGNA BEHAVIORAL HEALTH WELLMORE
CT060669107OtherUBH/ UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT11652959OtherCAQH
CT470744 PENDINGOtherMHN TRICARENORTH WELLMORE
CT004263951Medicaid
CT060669107OtherUBH/CONNECTICARE WELLMORE GRP/FACILITY
CT060669107OtherOPTUM BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT10450310-402 E MAINOtherBEACON HEALTH STRATEGIES, INC.
CT470744OtherMHN MANAGED HEALTH NETWORK WELLMORE
CT060669107OtherUBH/OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY
CT060669107OtherHEALHTYCT WELLMORE GRP/FACILITY
CT9235368OtherAETNA BEHAVIORAL HEALTH WELLMORE
CT10450310-402 E MAINOtherBEACON HEALTH STRATEGIES, INC.