Active NPI
Julie Margaret Hudson, LMSW
- Clinical Social Worker
- Walled Lake, MI
National Provider Identifier
1265586903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801070025
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1883825 | Medicaid | MI |
Other names 1
- Julie Margaret Grigaitis
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 |
|---|---|---|---|
| 6801070025 | MI | MD | Clinical 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.