Healthcare Provider Details

I. General information

NPI: 1124998885
Provider Name (Legal Business Name): KATIE E HUTCHERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATIE PATTERSON

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 LINCOLN AVE
EVANSVILLE IN
47714-1028
US

IV. Provider business mailing address

PO BOX 3117
EVANSVILLE IN
47730-3117
US

V. Phone/Fax

Practice location:
  • Phone: 812-491-2615
  • Fax:
Mailing address:
  • Phone: 812-491-2615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34013122A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: