Mr Christopher Hutcheson, LCSW | |
101 Foundry Dr Ste 1200, West Lafayette, IN 47906-3446 | |
(765) 299-6807 | |
(765) 637-7402 |
Full Name | Mr Christopher Hutcheson |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 101 Foundry Dr Ste 1200, West Lafayette, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154785897 | NPI | - | NPPES |
940740069 | Other | IN | MEDICARE |
300007351 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34007557A (Indiana) | Primary |
Entity Name | Gentle Beacon, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871069344 PECOS PAC ID: 4789928797 Enrollment ID: O20181203001144 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher Hutcheson, LCSW 3218 Daugherty Dr Ste 150, Lafayette, IN 47909-3997 Ph: (765) 299-6807 | Mr Christopher Hutcheson, LCSW 101 Foundry Dr Ste 1200, West Lafayette, IN 47906-3446 Ph: (765) 299-6807 |
Genevieve Judayna Elmahdi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 Augusta Blvd, West Lafayette, IN 47906 Phone: 765-427-0486 | |
Sally Ann Timmons, LCSW, RN Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-404-6431 Fax: 765-477-7843 | |
Mrs. Malissa Kaye Crowe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-491-6175 Fax: 765-743-5850 | |
Ms. Gwenda Sue Eiler, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Stadium Mall Dr., Purdue Univeristy Student Health Center, West Lafayette, IN 47907 Phone: 765-494-6995 Fax: 765-496-2139 | |
Mr. Ryaan J Mansouri, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 Win Hentschel Blvd Ste 222, West Lafayette, IN 47906 Phone: 765-237-9091 Fax: 765-374-2752 | |
Cydney Woolley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 703 3rd St Bldg Room1120, West Lafayette, IN 47907 Phone: 765-496-3004 |