Provider Demographics
NPI:1699550731
Name:HUNT, LAUREN (LSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19-01 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5245
Mailing Address - Country:US
Mailing Address - Phone:856-905-0075
Mailing Address - Fax:
Practice Address - Street 1:19-01 JORDAN RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5245
Practice Address - Country:US
Practice Address - Phone:856-905-0075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07023100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker