Healthcare Provider Details

I. General information

NPI: 1568272573
Provider Name (Legal Business Name): ANNA HUTCHINSON LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3847 TEAYS VALLEY RD STE C
HURRICANE WV
25526-9820
US

IV. Provider business mailing address

1719 GARRETTS CREEK RD
WAYNE WV
25570-4732
US

V. Phone/Fax

Practice location:
  • Phone: 304-690-6533
  • Fax:
Mailing address:
  • Phone: 304-690-6533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBP00946970
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: