Active NPI
Stephen Ludy, CADC, LADC
- Addiction (Substance Use Disorder) Counselor
- Worcester, MA
National Provider Identifier
1578872800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1138 AD
- Practice address
- 44 Front St
Suite 490
Worcester, MA 01608-1733 - Phone
- (508) 799-0702
- NPI assigned
- Oct 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1138 AD | MA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 34 | MA |
Addresses
Primary practice location
44 Front St
Suite 490
Worcester, MA 01608-1733
Mailing address
122 Amherst St
Worcester, MA 01602-2037
Phone (508) 751-6748
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1138 AD | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 34 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1578872800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 AMHERST ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016022037",
"telephone_number": "508-751-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 FRONT ST",
"address_2": "SUITE 490",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081733",
"telephone_number": "508-799-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDY",
"first_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "CADC, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1138 AD",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "34",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.