Provider Demographics
NPI:1417008012
Name:HUTCHINSON, MAUREEN (MSED, CRC, LMHC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:MSED, CRC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1443 E GUN HILL RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3064
Mailing Address - Country:US
Mailing Address - Phone:646-302-0051
Mailing Address - Fax:
Practice Address - Street 1:1443 E GUN HILL RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469
Practice Address - Country:US
Practice Address - Phone:718-653-2611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002851101Y00000X, 101YA0400X, 101YM0800X
NY50098225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health