Provider Demographics
NPI:1366137978
Name:HUNSTAD, SHERRY LYNN (LMSW)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:HUNSTAD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 DODGE ST STE A1
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-7159
Mailing Address - Country:US
Mailing Address - Phone:563-588-5557
Mailing Address - Fax:563-588-5521
Practice Address - Street 1:2600 DODGE ST STE A1
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-7159
Practice Address - Country:US
Practice Address - Phone:563-588-5557
Practice Address - Fax:563-588-5521
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA112923104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker