Individual provider Active NPI

Jody T Hutchinson, LMSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1467992867
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12132 Issued in LA
Practice address
400 Brentwood Blvd
Lafayette, LA 70503-4016
Phone
(337) 962-3159
NPI assigned
Mar 3, 2017
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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 12132 LA Primary

Addresses

Primary practice location

400 Brentwood Blvd
Lafayette, LA 70503-4016

Mailing address

400 Brentwood Blvd
Lafayette, LA 70503-4016
Phone (337) 962-3159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20180123000754 LA Practitioner - Clinical Social Worker 5294094173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 W Pinhook Rd
Suite 401
Lafayette, LA 70508-3212
Phone (337) 766-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Talitha Koum Current Accepting new patients
Social Works, LLC Clinical CurrentSince Dec 25, 2017 Accepting new patients

Locations

2020 W Pinhook Rd
Ste 401
Lafayette, LA 70508
Phone (337) 257-3522

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": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1467992867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BRENTWOOD BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034016",
            "telephone_number": "337-962-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BRENTWOOD BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034016",
            "telephone_number": "337-962-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "JODY",
        "middle_name": "T",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.