Active NPI
Jonathan Marce Hudson, LCSW
- Clinical Social Worker
- Turlock, CA
National Provider Identifier
1780097592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW74320
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW74320 | CA | MD | Clinical Social Worker |
| 61889 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insightfulways | Past | 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.
-
- Community/Behavioral Health Agency
- Turlock, CA
- NPI 1013441898
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.