Active NPI
Tiffany Camille Hutchins
- Clinical Social Worker
- Waxhaw, NC
National Provider Identifier
1346120342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020225
- Practice address
- 105 Waxhaw Professional Park Dr Ste H
Waxhaw, NC 28173-5018 - Phone
- (704) 222-0232
- Fax
- (704) 256-9968
- NPI assigned
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P020225 | NC | Primary |
| School Social Worker | 1041S0200X | 1232123 | NC |
Addresses
Primary practice location
105 Waxhaw Professional Park Dr Ste H
Waxhaw, NC 28173-5018
Mailing address
105 Waxhaw Professional Park Dr Ste H
Waxhaw, NC 28173-5018
Phone (704) 350-5087
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P020225 | NC | MD | Clinical Social Worker |
| 1232123 | NC | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Child & Family Guidance, PLLC | Clinical | Current | Accepting new patients |
Locations
105 Waxhaw Professional Park Dr
Ste H
Waxhaw, NC 28173
Phone (704) 256-0305
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": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1346120342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WAXHAW PROFESSIONAL PARK DR STE H",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281735018",
"telephone_number": "704-350-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WAXHAW PROFESSIONAL PARK DR STE H",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281735018",
"telephone_number": "704-222-0232",
"fax_number": "704-256-9968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINS",
"first_name": "TIFFANY",
"middle_name": "CAMILLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-10-24",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020225",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NC",
"license": "1232123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.