Healthcare Provider Details

I. General information

NPI: 1710877113
Provider Name (Legal Business Name): KATHERINE MCCAW HUTCHINSON MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 GREEN VALLEY RD STE 200
GREENSBORO NC
27408-2156
US

IV. Provider business mailing address

6710 ARCHWOOD AVE UNIT 303
RALEIGH NC
27616-6750
US

V. Phone/Fax

Practice location:
  • Phone: 910-232-1993
  • Fax:
Mailing address:
  • Phone: 910-232-1993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022383
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: