Provider Demographics
NPI:1154785897
Name:HUTCHESON, CHRISTOPHER (LCSW)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:HUTCHESON
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 1:3218 DAUGHERTY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-3997
Mailing Address - Country:US
Mailing Address - Phone:765-299-6807
Mailing Address - Fax:765-637-7402
Practice Address - Street 1:101 FOUNDRY DR STE 1200
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-3446
Practice Address - Country:US
Practice Address - Phone:765-299-6807
Practice Address - Fax:765-637-7402
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34007557A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN940740069OtherMEDICARE
IN300007351Medicaid