Avery Hudson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104426 Issued in TX

Practice address

3509 Hulen St Ste 107
Fort Worth, TX 76107-6834

Phone

(817) 382-7130

NPI assigned

Aug 20, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Same Time Next Week Counseling & Consultation

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1811696131
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1194602003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10543 BROOKSHIRE RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761262641",
            "telephone_number": "817-247-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 HULEN ST STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076834",
            "telephone_number": "817-382-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "AVERY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Andrew Huddleston, MD
• H. Stephen Hudgens, MD
• Bill Wyatt Hudgins, D.C.
• Hope Hudgins
• Ashlyn Hudson, MOT
• Courtnee Latrice Hudson, LPC
• Jeremy Hudson, RN
• Lynnicia Tyshae Hudson
• Melissa Marie Hudson, M.D.
• Monica A Hudson, FNP

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.