Provider Demographics
NPI:1861691859
Name:HUNSBERGER, ROBERTA ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:ANN
Last Name:HUNSBERGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:
Other - Last Name:HUNSBERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:900 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-4630
Mailing Address - Country:US
Mailing Address - Phone:252-338-0255
Mailing Address - Fax:
Practice Address - Street 1:900 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4630
Practice Address - Country:US
Practice Address - Phone:252-338-0255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0001671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical