Healthcare Provider Details

I. General information

NPI: 1306968045
Provider Name (Legal Business Name): ROBIN DEE HUTCHESON MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 LIBRARY BLVD SUITE E
GREENWOOD IN
46142-1567
US

IV. Provider business mailing address

1701 LIBRARY BLVD SUITE E
GREENWOOD IN
46142-1567
US

V. Phone/Fax

Practice location:
  • Phone: 317-884-3990
  • Fax: 317-889-5912
Mailing address:
  • Phone: 317-884-3990
  • Fax: 317-889-5912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34003997A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: