Active NPI
Marketa Hudson
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1144913096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8388
- Practice address
- 2481 Crescent Glen Cir Apt 208
Memphis, TN 38133-8026 - Phone
- (901) 602-2193
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 8388 | TN | Primary |
Addresses
Primary practice location
2481 Crescent Glen Cir Apt 208
Memphis, TN 38133-8026
Mailing address
6025 Stage Rd Ste 42
Bartlett, TN 38134-8374
Phone (901) 602-2193
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8388 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710633600000",
"number": "1144913096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 STAGE RD STE 42",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381348374",
"telephone_number": "901-602-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2481 CRESCENT GLEN CIR APT 208",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381338026",
"telephone_number": "901-602-2193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "MARKETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2024-03-17",
"certification_date": "2024-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "8388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.