Individual provider Active NPI

Rebecca Hutchison, LCSW-C

  • Clinical Social Worker
  • Easton, MD
National Provider Identifier
1588044929
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15388 Issued in MD
Practice address
8221 Teal Dr Ste 429
Easton, MD 21601-7212
Phone
(410) 253-2824
Fax
(855) 273-7002
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 15388 MD Primary

Addresses

Primary practice location

8221 Teal Dr Ste 429
Easton, MD 21601-7212

Mailing address

32351 Geib Rd
Cordova, MD 21625-2363
Phone (410) 253-2824

Other identifiers 1

IdentifierTypeStateIssuer
7521057MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20151008000334 MD Practitioner - Clinical Social Worker 6901114172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8221 Teal Dr
Suite 429
Easton, MD 21601-7212
Phone (410) 253-2824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15388MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
R. Hutchison., LLC Clinical CurrentSince Aug 17, 2015 Accepting new patients

Locations

10 W Dover St
Ste 2
Easton, MD 21601
Phone (410) 253-2824

8221 Teal Dr
Ste 429
Easton, MD 21601
Phone (410) 253-2824

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1588044929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32351 GEIB RD",
            "city": "CORDOVA",
            "state": "MD",
            "postal_code": "216252363",
            "telephone_number": "410-253-2824",
            "fax_number": "410-820-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 TEAL DR STE 429",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017212",
            "telephone_number": "410-253-2824",
            "fax_number": "855-273-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "REBECCA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7521057",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.