Individual provider Active NPI

Connie Hutchinson, LMSW

  • Social Worker
  • Troy, MI
National Provider Identifier
1336164334
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801019442 Issued in MI
Practice address
2265 Livernois Rd
260
Troy, MI 48083-1633
Phone
(248) 990-6959
Fax
(248) 990-6959
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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 6801019442 MI Primary

Addresses

Primary practice location

2265 Livernois Rd
260
Troy, MI 48083-1633

Mailing address

2265 Livernois Rd
260
Troy, MI 48083-1633
Phone (248) 990-6959

Other names 1

  • Connie M Witucki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061211000526 MI Practitioner - Clinical Social Worker 4587662895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2265 Livernois Rd
Suite 260
Troy, MI 48083-1639
Phone (248) 990-6959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connie M Hutchinson LMSW Acsw LLC CurrentSince Nov 1, 2015 Accepting new patients

Locations

2265 Livernois Rd
Ste 260
Troy, MI 48083
Phone (248) 990-6959

Organizations & group practices 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1336164334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS RD",
            "address_2": "260",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831633",
            "telephone_number": "248-990-6959",
            "fax_number": "248-990-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS RD",
            "address_2": "260",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831633",
            "telephone_number": "248-990-6959",
            "fax_number": "248-990-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "CONNIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801019442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "WITUCKI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.