Provider Demographics
NPI:1194490037
Name:HUTCHINSON, KYMARE DU-ANNE (LMSW)
Entity Type:Individual
Prefix:
First Name:KYMARE
Middle Name:DU-ANNE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 W 26TH ST FL 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1054
Mailing Address - Country:US
Mailing Address - Phone:347-729-8564
Mailing Address - Fax:
Practice Address - Street 1:37 W 26TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1054
Practice Address - Country:US
Practice Address - Phone:347-729-8564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105148-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker