Active NPI
Marjorie Ann Hudgens, MSW, LICSW
- Clinical Social Worker
- Lebanon, NH
National Provider Identifier
1235336017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1366
- Practice address
- 20 W Park St
Counseling Center of Lebanon
Lebanon, NH 03766-1378 - Phone
- (603) 448-1101
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1366 | NH | Primary |
Addresses
Primary practice location
20 W Park St
Counseling Center of Lebanon
Lebanon, NH 03766-1378
Mailing address
90 Hinkson Brook Rd
Canaan, NH 03741-7458
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 |
|---|---|---|---|
| 1366 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235336017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HINKSON BROOK RD",
"city": "CANAAN",
"state": "NH",
"postal_code": "037417458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W PARK ST",
"address_2": "COUNSELING CENTER OF LEBANON",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661378",
"telephone_number": "603-448-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDGENS",
"first_name": "MARJORIE",
"middle_name": "ANN",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.