Active NPI
Corey Jay Hudson
- Clinical Social Worker
- Milford, CT
National Provider Identifier
1336036060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10987
- Practice address
- 57 Plains Rd Ste 3D
Milford, CT 06461-2573 - Phone
- (203) 290-1717
- NPI assigned
- Jun 24, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 10987 | CT | Primary |
Addresses
Primary practice location
57 Plains Rd Ste 3D
Milford, CT 06461-2573
Mailing address
57 Plains Rd Ste 3D
Milford, CT 06461-2573
Phone (203) 290-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10987 | CT | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1336036060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PLAINS RD STE 3D",
"city": "MILFORD",
"state": "CT",
"postal_code": "064612573",
"telephone_number": "203-290-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PLAINS RD STE 3D",
"city": "MILFORD",
"state": "CT",
"postal_code": "064612573",
"telephone_number": "203-290-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "COREY",
"middle_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.