Provider Demographics
NPI:1174075550
Name:HATCH, LUKE (LCSW, CAD)
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:
Last Name:HATCH
Suffix:
Gender:M
Credentials:LCSW, CAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 STATE ROUTE 318
Mailing Address - Street 2:
Mailing Address - City:HIKO
Mailing Address - State:NV
Mailing Address - Zip Code:89017-2215
Mailing Address - Country:US
Mailing Address - Phone:775-725-3900
Mailing Address - Fax:
Practice Address - Street 1:1760 STATE ROUTE 318
Practice Address - Street 2:
Practice Address - City:HIKO
Practice Address - State:NV
Practice Address - Zip Code:89017-2215
Practice Address - Country:US
Practice Address - Phone:775-725-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5921-C1041C0700X
UT6047570-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical