Healthcare Provider Details

I. General information

NPI: 1255204848
Provider Name (Legal Business Name): ISABELLA M HUTCHISON LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

621 S MONROE ST
MONROE MI
48161-1440
US

IV. Provider business mailing address

5068 N DIXIE HWY
NEWPORT MI
48166-9691
US

V. Phone/Fax

Practice location:
  • Phone: 734-265-0334
  • Fax:
Mailing address:
  • Phone: 734-265-0334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851121024
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: