Provider Demographics
NPI:1407971773
Name:HUTCHISON, JAMES J (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:HUTCHISON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 BITTNER RD
Mailing Address - Street 2:
Mailing Address - City:PERRINEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08535-1231
Mailing Address - Country:US
Mailing Address - Phone:732-446-6399
Mailing Address - Fax:
Practice Address - Street 1:94 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2133
Practice Address - Country:US
Practice Address - Phone:732-792-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003622001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ640435Medicare ID - Type UnspecifiedPROVIDER NUMBER
NJ640435Medicare PIN