Provider Demographics
NPI:1053548941
Name:HUNTER, JENNIFER MELANIE (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MELANIE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 410
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-0410
Mailing Address - Country:US
Mailing Address - Phone:347-489-5494
Mailing Address - Fax:718-629-2952
Practice Address - Street 1:1271 SCHENECTADY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5809
Practice Address - Country:US
Practice Address - Phone:347-489-5494
Practice Address - Fax:718-629-2952
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW032561041C0700X
NYR042499-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty