Active NPI
Cassandre Elena Dujour Hudson, LCSW
- Clinical Social Worker
- Martinez, GA
National Provider Identifier
1487328050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW007539
- Practice address
- 4408 Columbia Rd Ste 104
Martinez, GA 30907-4561 - Phone
- (706) 310-5153
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | CSW007539 | Primary |
Addresses
Primary practice location
4408 Columbia Rd Ste 104
Martinez, GA 30907-4561
Mailing address
2032 Hatton CT
Augusta, GA 30909-9834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connection Haven Therapy, LLC | Current | Accepting new patients |
Locations
3839 Martinez Blvd
Ste 2
Martinez, GA 30907
Phone (706) 310-5153
4408 Columbia Rd
Ste 104
Martinez, GA 30907
Phone (706) 310-5153
Interoperability endpoints
- cassandre.hudson.1@30520.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Social Worker
- Martinez, GA
- NPI 1376213009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653091200000",
"number": "1487328050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 HATTON CT",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309099834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4408 COLUMBIA RD STE 104",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309074561",
"telephone_number": "706-310-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "CASSANDRE",
"middle_name": "ELENA DUJOUR",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2022-05-21",
"certification_date": "2022-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "CSW007539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.