Individual provider Active NPI

Sara Hutson, MSW, LCSW, CSAYC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1609412600
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008706A Issued in IN
Practice address
55 S State Ave Ste 357
Indianapolis, IN 46201-3896
Phone
(317) 507-7068
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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 34008706A IN Primary

Addresses

Primary practice location

55 S State Ave Ste 357
Indianapolis, IN 46201-3896

Mailing address

137 Kansas St
Indianapolis, IN 46225-1521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34008706AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hutson Psychotherapy, LLC CurrentSince Mar 12, 2023 Accepting new patients

Locations

55 S State Ave
Ste 357
Indianapolis, IN 46201
Phone (317) 507-7068

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1609412600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 KANSAS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S STATE AVE STE 357",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013896",
            "telephone_number": "317-507-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "SARA",
        "credential": "MSW, LCSW, CSAYC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008706A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.