Individual provider Active NPI

Jemetrias Hudson, LCSW

  • Clinical Social Worker
  • Mount Pleasant, TX
National Provider Identifier
1245937317
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109292 Issued in TX
Practice address
106 Morgan St Ste B
Mount Pleasant, TX 75455-5600
Phone
(903) 563-5568
Fax
(877) 415-3699
NPI assigned
Feb 9, 2023
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 109292 TX Primary

Addresses

Primary practice location

106 Morgan St Ste B
Mount Pleasant, TX 75455-5600

Mailing address

425 N Highland Ave Ste 260
Sherman, TX 75092-7377
Phone (903) 957-0082

Other practice location 1

425 N Highland Ave Ste 260
Sherman, TX 75092-7377
Phone (903) 957-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015001550 TX Practitioner - Clinical Social Worker 3577050368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Assurasource LTDGroup PAC ID 8123125580, 61 clinicians

Practice addresses (Care Compare)

400 N Allen Dr
Suite 204
Allen, TX 75013-2568
Phone (972) 233-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109292TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Assurasource LTD Clinical CurrentSince Sep 30, 2025 Accepting new patients
Dominique Spigner, LLC Clinical CurrentSince Aug 27, 2025 Accepting new patients
Karen Suzanne Hales Past Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

106 Morgan St
Ste B
Mount Pleasant, TX 75455
Phone (903) 380-1454

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1245937317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 260",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927377",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MORGAN ST STE B",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754555600",
            "telephone_number": "903-563-5568",
            "fax_number": "877-415-3699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 N Highland Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750927377",
            "country_code": "US",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JEMETRIAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.