Provider Demographics
NPI:1881282028
Name:HUNT, ALISHA (LCSW)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:HUNT
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10964 WILLIS RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:ID
Mailing Address - Zip Code:83644-6029
Mailing Address - Country:US
Mailing Address - Phone:775-636-3220
Mailing Address - Fax:
Practice Address - Street 1:10964 WILLIS RD
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:ID
Practice Address - Zip Code:83644-6029
Practice Address - Country:US
Practice Address - Phone:775-636-3220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW39469104100000X
IDLCSW-440341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker