Individual provider Active NPI

Cynthia A Hunt, LCSW

  • Clinical Social Worker
  • Eau Claire, WI
National Provider Identifier
1619295276
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7633-123 Issued in WI
Practice address
505 S Dewey St Ste 106
Box 17
Eau Claire, WI 54701-3781
Phone
(715) 835-5110
Fax
(715) 835-8414
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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 7633-123 WI Primary

Addresses

Primary practice location

505 S Dewey St Ste 106
Box 17
Eau Claire, WI 54701-3781

Mailing address

505 S Dewey St Ste 106
Box 17
Eau Claire, WI 54701-3781
Phone (715) 835-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170731000239 WI Practitioner - Clinical Social Worker 2365713005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Dakota School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Counseling LLCGroup PAC ID 3678711900, 43 clinicians

Practice addresses (Care Compare)

3610 Oakwood Mall Dr
Suite 203
Eau Claire, WI 54701-9084
Phone (763) 210-9966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Counseling LLC CurrentSince Sep 21, 2019 Accepting new patients

Locations

12918 63rd Ave N
Maple Grove, MN 55369
Phone (952) 999-1959

3610 Oakwood Mall Dr
Ste 203
Eau Claire, WI 54701

901 4th St
Hudson, WI 54016
Phone (651) 492-8498

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1619295276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S DEWEY ST STE 106",
            "address_2": "BOX 17",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013781",
            "telephone_number": "715-835-5110",
            "fax_number": "715-835-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S DEWEY ST STE 106",
            "address_2": "BOX 17",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013781",
            "telephone_number": "715-835-5110",
            "fax_number": "715-835-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7633-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.