Individual provider Active NPI

Brittany R Hudnall, LCSW

  • Clinical Social Worker
  • Temple, TX
National Provider Identifier
1467192765
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67903 Issued in TX
Practice address
5293 S 31St St Ste 137
Temple, TX 76502-3575
Phone
(585) 545-5111
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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 67903 TX Primary

Addresses

Primary practice location

5293 S 31St St Ste 137
Temple, TX 76502-3575

Mailing address

5293 S 31St St Ste 137
Temple, TX 76502-3575
Phone (585) 545-5111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pathwaysgroupcc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240808000326 TX Practitioner - Clinical Social Worker 4981141942 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67903TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Shepherds New Pathways, LLC CurrentSince Apr 17, 2022 Accepting new patients
The Shepherds New Pathways, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

921 W New Hope Dr
Ste 504
Cedar Park, TX 78613
Phone (512) 688-4303

3003 Dawn Dr
Ste 101
Georgetown, TX 78628
Phone (254) 228-5830

5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830

Organizations & group practices 2

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1467192765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5293 S 31ST ST STE 137",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023575",
            "telephone_number": "585-545-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5293 S 31ST ST STE 137",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023575",
            "telephone_number": "585-545-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDNALL",
        "first_name": "BRITTANY",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pathwaysgroupcc.com",
            "affiliation": "N",
            "address_1": "5293 S 31st St Ste 137",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765023575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.