Individual provider Active NPI

Tammy Lynn Hunt, LCSW

  • Clinical Social Worker
  • Victorville, CA
National Provider Identifier
1477729127
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
14021 Amargosa Rd Ste 100
Victorville, CA 92392-6404
Phone
(760) 881-7631
Fax
(760) 881-7876
NPI assigned
May 2, 2008
Last updated
Apr 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

14021 Amargosa Rd Ste 100
Victorville, CA 92392-6404

Mailing address

14021 Amargosa Road, Suite 100
Victorville, CA 92392-2432
Phone (760) 881-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130218000419 CA Practitioner - Clinical Social Worker 7416101605 Practice locations: Hesperia, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9179 G Ave
Hesperia, CA 92345-6121
Phone (760) 881-7631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1477729127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14021 AMARGOSA ROAD, SUITE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922432",
            "telephone_number": "760-881-7631",
            "fax_number": "760-881-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 AMARGOSA RD STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926404",
            "telephone_number": "760-881-7631",
            "fax_number": "760-881-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.