Provider Demographics
NPI:1982451894
Name:HUTCHINSON, MATTHEW (LSW)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 PAULINE DR # 1074
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4637
Mailing Address - Country:US
Mailing Address - Phone:717-819-9500
Mailing Address - Fax:
Practice Address - Street 1:2600 OLD WASHINGTON RD STE 150
Practice Address - Street 2:
Practice Address - City:UPPER ST CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241-2595
Practice Address - Country:US
Practice Address - Phone:412-910-1962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW141872104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker