Individual provider Active NPI

Emily Judd, LMSW, LLP, PSY.D.

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1770698649
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085259 Issued in MI
Practice address
28511 Orchard Lake Rd Ste a
Farmington Hills, MI 48334-2933
Phone
(586) 489-1550
NPI assigned
Aug 20, 2006
Reactivated
Mar 15, 2022
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085259 MI Primary

Addresses

Primary practice location

28511 Orchard Lake Rd Ste a
Farmington Hills, MI 48334-2933

Mailing address

28511 Orchard Lake Rd Ste a
Farmington Hills, MI 48334-2933
Phone (586) 489-1550

Other names 1

  • Emily Jensen Judd Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejudd106969@direct.hurleymc.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085259MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1770698649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28511 ORCHARD LAKE RD STE A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342933",
            "telephone_number": "586-489-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28511 ORCHARD LAKE RD STE A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342933",
            "telephone_number": "586-489-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "LMSW, LLP, PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "deactivation_date": "2021-06-22",
        "reactivation_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejudd106969@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1085 S Linden Rd Ste 150",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "JUDD",
            "middle_name": "JENSEN",
            "credential": "LMSW, LLP, PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

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