Benita Jo Hutchinson, LMSW
Individual provider Active NPI Clinical Social Worker · Spencer, NC
NPI 1023288271 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1023288271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C013520 (NC)
- Practice address
- 300 N Salisbury Ave
Spencer, NC 28159-2514 - Phone
- (704) 216-2630
- NPI assigned
- Mar 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
616 E Philadelphia St
Detroit, MI 48202-2225
Phone (313) 624-6654
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151201001800 | MI | Practitioner - Clinical Social Worker | 9032349626 | Practice locations: Detroit, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benita Jo Hutchinson | Current |
Accepting new patients |
Interoperability endpoints
- benita.hutchinson.1@12871.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801085306 | MI | |
| Clinical Social Worker | 1041C0700X | C013520 | NC | Yes |
Addresses
Primary practice location
300 N Salisbury Ave
Spencer, NC 28159-2514
Mailing address
1117 Holmes Ave
Salisbury, NC 28144-2614
Phone (136) 246-6543
Other practice location 1
616 E Philadelphia St
Detroit, MI 48202-2225
Phone (313) 624-6654
Other practice location 2
1117 Holmes Ave
Salisbury, NC 28144-2614
Phone (313) 624-6654
Other providers in Spencer, NC
- Family Medical Care of Rowan-Spencer
- Robin Starr Forbis
- Future Focus, Inc
- Gloris Harris
- Lakisha S Hayes
- Brent Justin Icenhour
- Loren Jones
- Kerr Drug Inc
- Gail Key Kimball
- Jennifer Carole Linn
All providers in Spencer, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.