MEDICARE: MS. JACQUELYN DENISE HUTCHENS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C009996	NC
2	1041C0700X	Clinical Social Worker	C10889	MS

General Provider Information

NPI Number	:	1497165328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JACQUELYN DENISE HUTCHENS LCSW

Provider Business Mailing Address
First Line	:	8866 SW SUN VALLEY DR
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73505-5059
Country	:	US
Telephone Number	:	706-951-6786
Fax Number	:

Provider Business Practice Location Address
First Line	:	8866 SW SUN VALLEY DR
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73505-5059
Country	:	US
Telephone Number	:	706-951-6786
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2014
Last Update Date	:	12/10/2025

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