Willis Jason Hudson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS4463 Issued in CA

Practice address

2443 Washington Ave
Redwood City, CA 94061-2523

Phone

(559) 349-6826

Fax

(559) 685-8953

NPI assigned

May 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1487972824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 WASHINGTON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612523",
            "telephone_number": "559-349-6826",
            "fax_number": "559-685-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 WASHINGTON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612523",
            "telephone_number": "559-349-6826",
            "fax_number": "559-685-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "WILLIS",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS4463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry W Huang, MD
• Jenny Huang
• Rex W Huang, MD
• Stephanie A Huang
• Janice McCollough Hudson, CRNA
• Cindy B Hue, D.D.S.
• Charmainne Marquerite Huff, LVN
• Stephen J Huffaker, MD, PHD
• Anamaria Pinell Huibers, M.A.
• Sherri Helen Hung, PHN

• Clinical Social Worker in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.