Provider Demographics
NPI:1982077616
Name:GAIL HUNTER, LCSW, BCD, LLC
Entity Type:Organization
Organization Name:GAIL HUNTER, LCSW, BCD, LLC
Other - Org Name:GAIL HUNTER, LCSW, BCD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER, SOLO PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, BCD
Authorized Official - Phone:412-781-5362
Mailing Address - Street 1:100 RUTLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-1920
Mailing Address - Country:US
Mailing Address - Phone:412-781-5362
Mailing Address - Fax:412-781-5362
Practice Address - Street 1:100 RUTLEDGE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-1920
Practice Address - Country:US
Practice Address - Phone:412-781-5362
Practice Address - Fax:412-781-5362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW-005577-L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHU713272Medicare UPIN