Elizabeth Michelle Hudson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7367-123 Issued in WI

Practice address

700 Ray O Vac Dr
Ste 220
Madison, WI 53711-2476

Phone

(608) 276-9191

Fax

(608) 276-9144

NPI assigned

Jan 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Therapy Center of Madison, Inc.Group PAC ID 1850285826, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Therapy Center of Madison, Inc.

  • Clinical Social Worker
  • Madison, WI
  • NPI 1164587150

  Clinical, WI

  Medicare reassignment Care Compare group NPD
• Peter C. Jackson, PSYD Consulting, SC

  • Clinical Psychologist
  • Madison, WI
  • NPI 1881058675
  NPD

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1497931737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR",
            "address_2": "STE 220",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112476",
            "telephone_number": "608-276-9191",
            "fax_number": "608-276-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR",
            "address_2": "STE 220",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112476",
            "telephone_number": "608-276-9191",
            "fax_number": "608-276-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ELIZABETH",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7367-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43581700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia J Huck, RN
• Eric Huckins, PHARMD
• Jessica Hudak
• Huddle Up Care Inc
• Alyssa Huddleston
• Kristal Hudson, MD
• Lora I Hudson, L.C.S.W., C.S.A.C
• Jeffrey Albert Huebner, MD
• Maya Huebsch
• Stacy R Huegerich, MPT

• All providers in Madison, WI
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.