Healthcare Provider Details

I. General information

NPI: 1154785897
Provider Name (Legal Business Name): CHRISTOPHER HUTCHESON LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 N MAIN ST # 304
CROWN POINT IN
46307-1877
US

IV. Provider business mailing address

3218 DAUGHERTY DR STE 150
LAFAYETTE IN
47909-3997
US

V. Phone/Fax

Practice location:
  • Phone: 574-546-1900
  • Fax: 574-546-1999
Mailing address:
  • Phone: 765-299-6807
  • Fax: 765-637-7402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34007557A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: