Individual provider Active NPI

Rachelle Dinet Hutchinson, LCSW

  • Social Worker
  • Lawrenceville, GA
National Provider Identifier
1174669964
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW003550 Issued in GA
Practice address
2775 Cruse Rd Ste 901
Lawrenceville, GA 30044-7143
Phone
(770) 925-2095
Fax
(866) 468-1886
NPI assigned
Jan 29, 2007
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW003550 GA Primary

Addresses

Primary practice location

2775 Cruse Rd Ste 901
Lawrenceville, GA 30044-7143

Mailing address

2775 Cruse Rd Ste 2601
Lawrenceville, GA 30044-7148
Phone (770) 925-2095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Social Empowerment Center Clinical CurrentSince Jan 14, 2007 Accepting new patients
J G Options, LLC Social Worker PastSince Jan 10, 2005 Accepting new patients

Locations

2775 Cruse Rd
Ste 901
Lawrenceville, GA 30044
Phone (203) 273-7063

504 Indian Trail Rd NW
Ste 200A
Lilburn, GA 30047
Phone (770) 925-2095

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, 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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1174669964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 CRUSE RD STE 2601",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447148",
            "telephone_number": "770-925-2095",
            "fax_number": "770-277-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 CRUSE RD STE 901",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447143",
            "telephone_number": "770-925-2095",
            "fax_number": "866-468-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "RACHELLE",
        "middle_name": "DINET",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW003550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.