Provider Demographics
NPI:1457405532
Name:HUTCHINS, DEBRA A (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:A
Last Name:HUTCHINS
Suffix:
Gender:F
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:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:MARIPOSA
Mailing Address - State:CA
Mailing Address - Zip Code:95338-0182
Mailing Address - Country:US
Mailing Address - Phone:512-293-1486
Mailing Address - Fax:
Practice Address - Street 1:3736 JONES CREEK RD
Practice Address - Street 2:
Practice Address - City:MARIPOSA
Practice Address - State:CA
Practice Address - Zip Code:95338-9341
Practice Address - Country:US
Practice Address - Phone:512-293-1486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW772621041C0700X
TX388431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical