MEDICARE: ELLYN KUTCH

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	104100000X	Social Worker	34009132A	IN

General Provider Information

NPI Number	:	1568138196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLYN KUTCH

Provider Business Mailing Address
First Line	:	2801 BERTHOLET BLVD STE 301
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383-7959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 BERTHOLET BLVD STE 301
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383-7959
Country	:	US
Telephone Number	:	219-477-9239
Fax Number	:

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

Provider Enumeration Date	:	08/23/2021
Last Update Date	:	11/07/2022

Similar Medicare Providers

1962195016 — DR. BLAKE HANSEN DNP, FNP-C
Practice Location Address:

2801 BERTHOLET BLVD STE 201
VALPARAISO, IN
46383-7959

Practice Phone: 844-458-2800
Practice Fax:

1689127474 — PROACTIVE MSO, LLC
Practice Location Address:

2801 BERTHOLET BLVD STE 201
VALPARAISO, IN
46383-7959

Practice Phone: 844-458-2800
Practice Fax:

1770194227 — DESADAREA D ZYLSTRA MA, LMHCA, NCC
Practice Location Address:

2801 BERTHOLET BLVD STE 301
VALPARAISO, IN
46383-7959

Practice Phone: 708-820-8097
Practice Fax:

1336756261 — KELSEY NICOLE BREWER
Practice Location Address:

2801 BERTHOLET BLVD STE 301
VALPARAISO, IN
46383-7959

Practice Phone: 219-323-3311
Practice Fax:

1568135101 — DR. MANDY MEGGENS MORRILL-RICHARDS LMHC , NCC
Practice Location Address:

2801 BERTHOLET BLVD STE 301
VALPARAISO, IN
46383-7959

Practice Phone: 219-323-3311
Practice Fax:

1700552312 — MADISON LEE TOMBLIN
Practice Location Address:

2801 BERTHOLET BLVD STE 301
VALPARAISO, IN
46383-7959

Practice Phone: 219-323-3311
Practice Fax:

Directions to “ ELLYN KUTCH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.