Active NPI
Domenica Marie Hudy
- Social Worker
- Concord, MA
National Provider Identifier
1245070036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 575 Virginia Rd
Concord, MA 01742-2761 - Phone
- (978) 440-2168
- NPI assigned
- May 29, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
575 Virginia Rd
Concord, MA 01742-2761
Mailing address
14 Egmont St Apt B
Brookline, MA 02446-3615
Phone (607) 321-5555
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1245070036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 EGMONT ST APT B",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463615",
"telephone_number": "607-321-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 VIRGINIA RD",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422761",
"telephone_number": "978-440-2168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDY",
"first_name": "DOMENICA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.