Provider Demographics
NPI:1265970727
Name:HUNT, AUBREY BURR (LCSW, LCADC)
Entity type:Individual
Prefix:MRS
First Name:AUBREY
Middle Name:BURR
Last Name:HUNT
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:MISS
Other - First Name:AUBREY
Other - Middle Name:BURR
Other - Last Name:WARRENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:300 EMORY ST
Mailing Address - Street 2:UNIT 414
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-7122
Mailing Address - Country:US
Mailing Address - Phone:732-556-7092
Mailing Address - Fax:732-923-5277
Practice Address - Street 1:300 2ND AVE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6303
Practice Address - Country:US
Practice Address - Phone:732-923-5257
Practice Address - Fax:732-923-5700
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-05
Last Update Date:2017-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00227200101YA0400X
NJ44SC055439001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37LC00227200OtherLCADC
NJ44SC05543900OtherLCSW