Individual
MS. JENNIFER A HUDSON
Active
Individual
MS. JENNIFER A HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00220500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05616300
NJ
1041C0700X
Clinical Social Worker
6259
TN
1041C0700X
Clinical Social Worker
C8900
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31-4011
MEDICARE
NJ
05
—
4144007
—
NJ
Enumeration date
08/06/2013
Last updated
03/14/2017
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