Individual provider Active NPI

Michael Wayne Hutchens, MA, LLMSW

  • Clinical Social Worker
  • Sandusky, MI
National Provider Identifier
1023102035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085921 Issued in MI
Practice address
217 E Sanilac Rd Ste 1
Sandusky, MI 48471-1383
Phone
(810) 648-4327
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801085921 MI Primary

Addresses

Primary practice location

217 E Sanilac Rd Ste 1
Sandusky, MI 48471-1383

Mailing address

6953 Walker Rd
Kingston, MI 48741-9789
Phone (989) 635-8231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120525000372 MI Practitioner - Clinical Social Worker 1850554023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lapeer Christian Counseling LLCGroup PAC ID 5294063004, 9 clinicians

Practice addresses (Care Compare)

778 S Main St
Suite 121
Lapeer, MI 48446-3032

814 S Main St
Suite 3
Lapeer, MI 48446-3073
Phone (810) 660-8275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801085921MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lapeer Christian Counseling, LLC Clinical CurrentSince Aug 1, 2019 Accepting new patients
Sanilac County Community Mental Health PastSince Apr 7, 2012 Accepting new patients
Emmaus Christian Counseling PastSince Apr 30, 2023 Accepting new patients

Locations

131 N Almont Ave
Imlay City, MI 48444
Phone (810) 660-8275

778 S Main St
Lapeer, MI 48446
Phone (810) 664-4900

814 S Main St
Ste 3
Lapeer, MI 48446
Phone (810) 660-8275

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023102035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6953 WALKER RD",
            "city": "KINGSTON",
            "state": "MI",
            "postal_code": "487419789",
            "telephone_number": "989-635-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SANILAC RD STE 1",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711383",
            "telephone_number": "810-648-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHENS",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MA, LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.