Active NPI
Noel Hudon, LCSW
- Clinical Social Worker
- Kuna, ID
National Provider Identifier
1013450667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-34473
- Practice address
- 309 E Whitbeck St
Kuna, ID 83634-5116 - Phone
- (208) 891-9555
- Fax
- (208) 922-3778
- NPI assigned
- Nov 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-34473 | ID | Primary |
Addresses
Primary practice location
309 E Whitbeck St
Kuna, ID 83634-5116
Mailing address
309 E Whitbeck St
Kuna, ID 83634-5116
Phone (208) 891-9555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-34473 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1013450667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E WHITBECK ST",
"city": "KUNA",
"state": "ID",
"postal_code": "836345116",
"telephone_number": "208-891-9555",
"fax_number": "208-922-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E WHITBECK ST",
"city": "KUNA",
"state": "ID",
"postal_code": "836345116",
"telephone_number": "208-891-9555",
"fax_number": "208-922-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDON",
"first_name": "NOEL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-30",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-34473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kuna, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.