Provider Demographics
NPI:1063056612
Name:HUTCHINSON, COURTNEY W (LICSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:W
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 JAK LEN DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-1432
Mailing Address - Country:US
Mailing Address - Phone:978-420-6803
Mailing Address - Fax:
Practice Address - Street 1:10 JAK LEN DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-1432
Practice Address - Country:US
Practice Address - Phone:978-420-6803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122549104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker