Individual provider Active NPI

Jacquelyn Denise Hutchens, LCSW

  • Clinical Social Worker
  • Lawton, OK
National Provider Identifier
1497165328
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009996 Issued in NC
Practice address
8866 SW Sun Valley Dr
Lawton, OK 73505-5059
Phone
(706) 951-6786
NPI assigned
Apr 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009996 NC Primary
Clinical Social Worker 1041C0700X C10889 MS

Addresses

Primary practice location

8866 SW Sun Valley Dr
Lawton, OK 73505-5059

Mailing address

8866 SW Sun Valley Dr
Lawton, OK 73505-5059
Phone (706) 951-6786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241202001007 NC Practitioner - Clinical Social Worker 6800321753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C10889MSMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: jacquelyn.hutchens.1@30520.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1497165328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8866 SW SUN VALLEY DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055059",
            "telephone_number": "706-951-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8866 SW SUN VALLEY DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055059",
            "telephone_number": "706-951-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHENS",
        "first_name": "JACQUELYN",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009996",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.