Jennifer Mae Hutkowski, MSW, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801100703 Issued in MI

Practice address

1322 N. River Rd.
St. Clair, MI 48079-2803

Phone

(810) 329-4798

Fax

(810) 329-7303

NPI assigned

Mar 8, 2017

Last updated

Mar 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Mae Perrin Former name

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Balance Mental Health & Wellness, LLC

  • Mental Health Counselor
  • Marysville, MI
  • NPI 1316646953
  NPD
• St Clair County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Marine City, MI
  • NPI 1821133265
  NPD (past)

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1538609656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 183",
            "address_2": "1322 N. RIVER RD.",
            "city": "ST. CLAIR",
            "state": "MI",
            "postal_code": "480792803",
            "telephone_number": "810-329-4798",
            "fax_number": "810-329-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 N. RIVER RD.",
            "city": "ST. CLAIR",
            "state": "MI",
            "postal_code": "480792803",
            "telephone_number": "810-329-4798",
            "fax_number": "810-329-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTKOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "MAE",
        "credential": "MSW, LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801100703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PERRIN",
            "middle_name": "MAE",
            "credential": "MSW, LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren L Hawk
• Taylor A Hinkley
• Tanjanika Hobgood
• Jessica Holcomb
• HQ of St Clair LLC (Healthquest Physical Therapy)
• Ann Marie Huyghe, MA, LPC
• In Home Personal Services
• Marvin Warren Jones, PHD
• Laura Anne Karadimas, FNP-C
• Deanna Jean Kaufman

• Social Worker in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.