MEDICARE: CYNTHIA HUTCHINSON 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	101YM0800X	Mental Health Counselor	188LCPC	MT
2	1041C0700X	Clinical Social Worker	8038	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000074670	OTHER	MT	BCBS

General Provider Information

NPI Number	:	1528139946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA HUTCHINSON LCSW

Provider Business Mailing Address
First Line	:	PO BOX 20054
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59104-0054
Country	:	US
Telephone Number	:	406-657-1049
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 POLY DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-1739
Country	:	US
Telephone Number	:	406-657-1049
Fax Number	:

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

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	06/17/2014

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