Connie M Hutchinson LMSW Acsw LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801019442 Issued in MI

Legal business name

CONNIE M HUTCHINSON LMSW ACSW LLC

Practice address

2265 Livernois Rd
Ste 260
Troy, MI 48083-1633

Phone

(248) 990-6959

NPI assigned

Apr 2, 2014

Last updated

Nov 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Hutchinson, LMSWNPI 1336164334

Title

Owner

Phone

(248) 990-6959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie Hutchinson, LMSW

  • Social Worker
  • Troy, MI
  • NPI 1336164334
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1225456635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS RD",
            "address_2": "STE 260",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831633",
            "telephone_number": "248-990-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS RD",
            "address_2": "STE 260",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831633",
            "telephone_number": "248-990-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE M HUTCHINSON LMSW ACSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-990-6959",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.