Shanae Hudson, LCSW, LICSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006950 Issued in GA

Practice address

121 Glen Oaks Dr
Savannah, GA 31405-2761

Phone

(202) 730-8996

NPI assigned

Jan 8, 2022

Last updated

Jan 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1255092581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 EISENHOWER DR UNIT 16192",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314167817",
            "telephone_number": "202-730-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GLEN OAKS DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052761",
            "telephone_number": "202-730-8996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 4th St SW # W410",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200242320",
            "country_code": "US",
            "telephone_number": "202-730-8996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SHANAE",
        "credential": "LCSW, LICSW, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082640",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HSC Abercorn Inc (Immediate Med)
• Eric Wayne Hua, MD
• Adrienne Walker Hubbard
• Cynthia Anita Hucks-Smith, PHD
• Leslie Denise Hudson, LCSW
• Kathryn Huelfer, PHARMD
• Latrelle Huff
• Candice Shai Huffard-King, MS, CGC
• Kameron Huffman, RPH
• Brian J Hughes, MD

• Clinical Social Worker in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.