Provider Demographics
NPI:1700505054
Name:ALBRECHT, HUNTER THOMAS (LMSW)
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:THOMAS
Last Name:ALBRECHT
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 E TOBAGO CT
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-7424
Mailing Address - Country:US
Mailing Address - Phone:208-850-3632
Mailing Address - Fax:
Practice Address - Street 1:470 E TOBAGO CT
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-7424
Practice Address - Country:US
Practice Address - Phone:208-850-3632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-419891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical