Individual provider Active NPI

Marianne Winifred Hutchison, LCSW

  • Clinical Social Worker
  • Woodstock, IL
National Provider Identifier
1154184059
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026435 Issued in IL
Practice address
2030 N Seminary Ave
Woodstock, IL 60098-2626
Phone
(815) 679-4649
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 149.026435 IL Primary

Addresses

Primary practice location

2030 N Seminary Ave
Woodstock, IL 60098-2626

Mailing address

2030 N Seminary Ave
Woodstock, IL 60098-2626
Phone (815) 679-4649

Other names 1

  • Marianne Urbina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240530002763 IL Practitioner - Clinical Social Worker 6901248376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The ThresholdsGroup PAC ID 6204826647, 20 clinicians

Practice addresses (Care Compare)

4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026435ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Thresholds CurrentSince Mar 25, 2024 Accepting new patients
The Thresholds CurrentSince Mar 25, 2024 Accepting new patients

Locations

4101 N Ravenswood Ave
Chicago, IL 60613
Phone (773) 572-5434

616 S State Route 31
McHenry, IL 60050
Phone (815) 344-1919

2030 N Seminary Ave
Woodstock, IL 60098
Phone (815) 679-4604

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1154184059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 N SEMINARY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982626",
            "telephone_number": "815-679-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N SEMINARY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982626",
            "telephone_number": "815-679-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "MARIANNE",
        "middle_name": "WINIFRED",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "URBINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.