Individual provider Active NPI

Hayven Tudman, LCSW

  • Clinical Social Worker
  • Grand Prairie, TX
National Provider Identifier
1275446742
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68188 Issued in TX
Practice address
2825 N Hwy 360 Apt 1151
Grand Prairie, TX 75050-7859
Phone
(682) 800-4349
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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 68188 TX Primary

Addresses

Primary practice location

2825 N Hwy 360 Apt 1151
Grand Prairie, TX 75050-7859

Mailing address

2825 N Hwy 360 Apt 1151
Grand Prairie, TX 75050-7859
Phone (682) 800-4349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1275446742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N HWY 360 APT 1151",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507859",
            "telephone_number": "682-800-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N HWY 360 APT 1151",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507859",
            "telephone_number": "682-800-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDMAN",
        "first_name": "HAYVEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.