Healthcare Provider Details

I. General information

NPI: 1972695831
Provider Name (Legal Business Name): LINDA M.C HUTTON L.C.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA M HUTTON LCSW

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 07/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 W 9TH ST SUITE 5B
NEW YORK NY
10011-8971
US

IV. Provider business mailing address

506 E 88TH ST SUITE 5A
NEW YORK NY
10128-7722
US

V. Phone/Fax

Practice location:
  • Phone: 347-266-4283
  • Fax:
Mailing address:
  • Phone: 347-266-4283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPO62173-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: