Provider Demographics
NPI:1124815204
Name:HUTCHINGS, BRENNON K (CSW)
Entity type:Individual
Prefix:
First Name:BRENNON
Middle Name:K
Last Name:HUTCHINGS
Suffix:
Gender:
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1257
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:UT
Mailing Address - Zip Code:84713-1257
Mailing Address - Country:US
Mailing Address - Phone:435-421-4430
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1257
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:UT
Practice Address - Zip Code:84713-1257
Practice Address - Country:US
Practice Address - Phone:435-421-4430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical