Individual provider Active NPI

Julie Margaret Hudson, LMSW

  • Clinical Social Worker
  • Walled Lake, MI
National Provider Identifier
1265586903
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070025 Issued in MI
Practice address
1350 E West Maple Rd
Suite 5
Walled Lake, MI 48390-3727
Phone
(248) 496-7558
Fax
(248) 624-4216
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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 6801070025 MI Primary

Addresses

Primary practice location

1350 E West Maple Rd
Suite 5
Walled Lake, MI 48390-3727

Mailing address

1350 E West Maple Rd
Suite 5
Walled Lake, MI 48390-3727
Phone (248) 496-7558

Other identifiers 1

IdentifierTypeStateIssuer
1883825MedicaidMI

Other names 1

  • Julie Margaret Grigaitis Former name

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

LicenseStateTypeSpecialty
6801070025MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1265586903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E WEST MAPLE RD",
            "address_2": "SUITE 5",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903727",
            "telephone_number": "248-496-7558",
            "fax_number": "248-624-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E WEST MAPLE RD",
            "address_2": "SUITE 5",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903727",
            "telephone_number": "248-496-7558",
            "fax_number": "248-624-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JULIE",
        "middle_name": "MARGARET",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "GRIGAITIS",
            "middle_name": "MARGARET",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.