Provider Demographics
NPI:1497461321
Name:HUTCHINS, NATHANIEL P (LCSW)
Entity Type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:P
Last Name:HUTCHINS
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 1:901 PENINSULA ST APT 5
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3902
Mailing Address - Country:US
Mailing Address - Phone:773-816-9004
Mailing Address - Fax:
Practice Address - Street 1:901 PENINSULA ST APT 5
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-3902
Practice Address - Country:US
Practice Address - Phone:773-816-9004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-24
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1135561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical