Individual provider Active NPI

Nikki Darlene Hutchison Hutchison, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1588141683
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06143 Issued in KS
Practice address
3320 Peterson Rd Family Psychological Service LLC
Suite 104
Lawrence, KS 66049
Phone
(785) 371-1414
Fax
(785) 371-4519
NPI assigned
Jul 23, 2018
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 06143 KS Primary

Addresses

Primary practice location

3320 Peterson Rd Family Psychological Service LLC
Suite 104
Lawrence, KS 66049

Mailing address

3320 Peterson Rd Family Psychological Service LLC
Suite 104
Lawrence, KS 66049
Phone (785) 371-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 16, 2026 through Jul 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06143KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychological Services LLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

3320 Peterson Rd
Ste 104
Lawrence, KS 66049
Phone (785) 371-1414

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, 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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1588141683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC",
            "address_2": "SUITE 104",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-371-1414",
            "fax_number": "785-371-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC",
            "address_2": "SUITE 104",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-371-1414",
            "fax_number": "785-371-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON HUTCHISON",
        "first_name": "NIKKI",
        "middle_name": "DARLENE",
        "name_prefix": "Miss",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.