Provider Demographics
NPI:1023464534
Name:HUNTSBERGER, ALLISON NICHOL (MSW, LSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICHOL
Last Name:HUNTSBERGER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:NICHOL
Other - Last Name:HARLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 OBETZ RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-4036
Mailing Address - Country:US
Mailing Address - Phone:614-405-3436
Mailing Address - Fax:
Practice Address - Street 1:301 OBETZ RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-4036
Practice Address - Country:US
Practice Address - Phone:614-405-3436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1501202104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker