Melinda Amy Hutton, LCSW

Individual provider Active NPI Clinical Social Worker · Oracle, AZ

NPI 1780277665 · NPPES record last updated Feb 11, 2021

Key facts

NPI
1780277665
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R44423-01 (NY)
Practice address
1045 W. Barbara PL.
Oracle, AZ 85623
Phone
(631) 484-2763
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R44423-01NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R44423-01 NY Yes

Addresses

Primary practice location

1045 W. Barbara PL.
Oracle, AZ 85623

Mailing address

PO Box 1327
Oracle, AZ 85623-1327
Phone (631) 484-2763

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL mhutton681@gmail.com Direct

Other providers in Oracle, AZ

All providers in Oracle, AZ · Clinical Social Worker in Arizona

Sources for this page

Verify at the official NPI Registry.