Ebony Cheri Hutchinson, PLCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2006031867 Issued in MO

Practice address

7401 Florissant Rd
Saint Louis, MO 63121-4835

Phone

(314) 261-6011

NPI assigned

Feb 19, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

Saint Louis University School of Medicine, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebonyhutchinson@tdh.allscriptsdirect.net

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.

• Ebony Therapy LLC

  • Clinical Social Worker
  • Bridgeton, MO
  • NPI 1679173108
  Medicare reassignment NPD
• Community Reach

  • Mental Health Counselor
  • Bridgeton, MO
  • NPI 1952901688
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033253208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 BURRWOOD DR",
            "address_2": "APT. E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631211651",
            "telephone_number": "314-518-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 FLORISSANT RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214835",
            "telephone_number": "314-261-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "EBONY",
        "middle_name": "CHERI",
        "name_prefix": "Ms.",
        "credential": "PLCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006031867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496950403",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hust
• Marissa Rae Hustedde, DO
• Kevin Whitney Hutcheson, CRNA
• Eliza Kathleen Hutchings
• Larissa Ann Hutchings, MSW
• Mason Hutchinson, AA
• Tonya Ann Hutchinson, LCSW
• Elaine Joyce Hutchison, MD
• Halston Elexis Hutchison, LCSW
• Timothy W Hutchison, M.D.

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.