Individual provider Active NPI

Jonathan Marce Hudson, LCSW

  • Clinical Social Worker
  • Turlock, CA
National Provider Identifier
1780097592
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW74320 Issued in CA
Practice address
384 E Olive Ave Ste 4
Turlock, CA 95380-4051
Phone
(209) 620-8464
Fax
(209) 850-9411
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LCSW74320 CA Primary

Addresses

Primary practice location

384 E Olive Ave Ste 4
Turlock, CA 95380-4051

Mailing address

384 E Olive Ave Ste 4
Turlock, CA 95380-4051
Phone (209) 675-0144

Other practice location 1

1405 California Avenue
Merced, CA 95341-6805
Phone (209) 392-2111

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
LCSW74320CAMDClinical Social Worker
61889CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Insightfulways PastSince Nov 11, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780097592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 E OLIVE AVE STE 4",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804051",
            "telephone_number": "209-675-0144",
            "fax_number": "209-850-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 E OLIVE AVE STE 4",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804051",
            "telephone_number": "209-620-8464",
            "fax_number": "209-850-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 California Avenue",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416805",
            "country_code": "US",
            "telephone_number": "209-392-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JONATHAN",
        "middle_name": "MARCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW74320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.