Carly June Hudson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016180 Issued in NC

Practice address

216 E Lenoir St
Raleigh, NC 27601-2333

Phone

(919) 438-0644

NPI assigned

Mar 15, 2021

Last updated

Oct 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Garden Wellness Group PLLC

  dba The Garden

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1255118139
  NPD Authorized official
• Inspire Counseling Center, LLC

  • Professional Counselor
  • Northbrook, IL
  • NPI 1295289726
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1659956399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E LENOIR ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276012333",
            "telephone_number": "919-438-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E LENOIR ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276012333",
            "telephone_number": "919-438-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CARLY",
        "middle_name": "JUNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-10-31",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Hudgins, M.ED.
• Hudson Home
• Malkhiyah Hudson-Hairston
• Alexus Hudson
• Bradley Kyle Hudson, PT, DPT, CSCS
• Isabel Grace Hudson
• Jennifer Hudson, OTR/L
• Jermaine Bellamy Hudson Jr.
• Luke Hudson
• Maude Amelia Hudson

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.