Individual provider Active NPI

Annette Brucoli Hutchison, LISW-S

  • School Social Worker
  • Poland, OH
National Provider Identifier
1689819054
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
I.0007210 SUPV Issued in OH
Practice address
8845 Youngstown Pittsburgh Rd
Poland, OH 44514-2820
Phone
(330) 757-8250
NPI assigned
Dec 12, 2008
Last updated
Dec 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X I.0007210 SUPV OH Primary

Addresses

Primary practice location

8845 Youngstown Pittsburgh Rd
Poland, OH 44514-2820

Mailing address

8845 Youngstown Pittsburg Rd
Poland, OH 44514-2820
Phone (330) 757-8250

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
I.0007210 SUPVOHMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1689819054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 YOUNGSTOWN PITTSBURG RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142820",
            "telephone_number": "330-757-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 YOUNGSTOWN PITTSBURGH RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142820",
            "telephone_number": "330-757-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "ANNETTE",
        "middle_name": "BRUCOLI",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "I.0007210 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.