Individual provider Active NPI

Cheryl Hudson, ADULT CASE MANAGER

  • Clinical Social Worker
  • Morgantown, KY
National Provider Identifier
1306034723
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
211 E G L Smith St
Morgantown, KY 42261-9413
Phone
(270) 526-3877
Fax
(270) 526-2929
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

211 E G L Smith St
Morgantown, KY 42261-9413

Mailing address

1127 Whitlock Rd
Alvaton, KY 42122-9624

Other practice location 1

1143 Fairway St Ste 103
Bowling Green, KY 42103-2452
Phone (833) 525-3727

Other identifiers 1

IdentifierTypeStateIssuer
270049019MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000585 KY Practitioner - Clinical Social Worker 3476555137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Substance Abuse Solutions LLCGroup PAC ID 8123440401, 20 clinicians

Practice addresses (Care Compare)

1143 Fairway St
Suite 103
Bowling Green, KY 42103-2452
Phone (833) 525-3727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Substance Abuse Solutions LLC CurrentSince May 4, 2022 Accepting new patients
Oasis Counseling, Inc Clinical PastSince Apr 30, 2003 Accepting new patients
Lifeskills, Inc. PastSince Aug 27, 2015 Accepting new patients

Locations

225 W Canton Ave
Ste 600
Winter Park, FL 32789
Phone (407) 347-4536

1143 Fairway St
Ste 103
Bowling Green, KY 42103
Phone (812) 901-6881

1830 Destiny Ln
Ste 110
Bowling Green, KY 42104
Phone (270) 846-3338

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1306034723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WHITLOCK RD",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421229624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E G L SMITH ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422619413",
            "telephone_number": "270-526-3877",
            "fax_number": "270-526-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1143 Fairway St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421032452",
            "country_code": "US",
            "telephone_number": "833-525-3727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CHERYL",
        "credential": "ADULT CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270049019",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, KY

Sources for this page

Verify at the official NPI Registry.