Provider Demographics
NPI:1548785298
Name:HUTCHINSON, SARA NICOLE (LICSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:NICOLE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:NICOLE
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1901 CORNWALL AVE # 1073
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3659
Mailing Address - Country:US
Mailing Address - Phone:360-712-3844
Mailing Address - Fax:
Practice Address - Street 1:1901 CORNWALL AVE # 1073
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3659
Practice Address - Country:US
Practice Address - Phone:360-712-3844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW614708791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical