Provider Demographics
NPI:1891201208
Name:HUTCHISON, ERIK (LMSW)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:HUTCHISON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8716 LILLY DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9654
Mailing Address - Country:US
Mailing Address - Phone:269-569-1586
Mailing Address - Fax:
Practice Address - Street 1:8716 LILLY DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9654
Practice Address - Country:US
Practice Address - Phone:269-569-1586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010940591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical