Provider Demographics
NPI:1548722325
Name:HUNT, ADAM MATTHIAS (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:MATTHIAS
Last Name:HUNT
Suffix:
Gender:M
Credentials:MSW, LCSW
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 324
Mailing Address - Street 2:
Mailing Address - City:LITTLE CHUTE
Mailing Address - State:WI
Mailing Address - Zip Code:54140-0324
Mailing Address - Country:US
Mailing Address - Phone:920-423-5800
Mailing Address - Fax:920-423-5810
Practice Address - Street 1:920 W FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LITTLE CHUTE
Practice Address - State:WI
Practice Address - Zip Code:54140-2618
Practice Address - Country:US
Practice Address - Phone:920-423-5800
Practice Address - Fax:920-423-5810
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI127397104100000X
1041C0700X
WI9962-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker