Courtney Blake Hudson, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009446 Issued in NC

Practice address

125 Overhill Dr Ste 105
Mooresville, NC 28117-8232

Phone

(704) 651-5124

Fax

(704) 799-8949

NPI assigned

Jan 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• People Incorporated

  • Mental Illness Community Based Residential Treatment Facility
  • Minneapolis, MN
  • NPI 1376661447
  NPD (past)
• People Incorporated

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1982722021
  NPD (past)

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1295073971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OVERHILL DR STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178232",
            "telephone_number": "704-651-5124",
            "fax_number": "704-799-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OVERHILL DR STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178232",
            "telephone_number": "704-651-5124",
            "fax_number": "704-799-8949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Clifton Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554033467",
            "country_code": "US",
            "telephone_number": "612-870-3787",
            "fax_number": "612-870-3789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554043378",
            "country_code": "US",
            "telephone_number": "612-872-2000",
            "fax_number": "612-871-1375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014502",
            "country_code": "US",
            "telephone_number": "704-962-2632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Rock Hill Road Ext",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288039691",
            "country_code": "US",
            "telephone_number": "704-962-2632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1784 LaCrosse Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551194808",
            "country_code": "US",
            "telephone_number": "651-645-9424",
            "fax_number": "651-945-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "COURTNEY",
        "middle_name": "BLAKE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009446",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Howard, A.S., BC-HIS
• Christine Marilynn Howland, RPH
• Anita Hoyt, PA
• Sarah J Huber, DPT
• Haley Dae Huck, DC
• Jodi Ann Huey, PT
• Ronald Charles Huffman, MD
• Ying Huffman, PHARM.D
• Teri Hufford
• Crystal Nicole Hulett, MA, LMFT

• Clinical Social Worker in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.