Healthcare Provider Details

I. General information

NPI: 1922766260
Provider Name (Legal Business Name): KATHERINE HUTCHENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 12/03/2021
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 CONNECTICUT AVE NW APT 611
WASHINGTON DC
20008-6010
US

IV. Provider business mailing address

4545 CONNECTICUT AVE NW APT 611
WASHINGTON DC
20008-6010
US

V. Phone/Fax

Practice location:
  • Phone: 202-441-3038
  • Fax:
Mailing address:
  • Phone: 202-441-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number27748
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: