Provider Demographics
NPI:1265511521
Name:HUTCHINSON, DANIELLE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 N MAIN ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-2445
Mailing Address - Country:US
Mailing Address - Phone:856-266-2394
Mailing Address - Fax:609-654-0492
Practice Address - Street 1:1 N MAIN ST STE 3B
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-2445
Practice Address - Country:US
Practice Address - Phone:856-266-2394
Practice Address - Fax:609-654-0492
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051960001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical