Jena Marie Hudkins, LMSW

Individual provider Active NPI Clinical Social Worker · High Ridge, MO

NPI 1780955732 · NPPES record last updated Jun 8, 2023

Key facts

NPI
1780955732
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2022014772 (MO)
Practice address
324 Emerson Rd
High Ridge, MO 63049
Phone
(636) 535-3753
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2022014772 MO Yes

Addresses

Primary practice location

324 Emerson Rd
High Ridge, MO 63049

Mailing address

324 Emerson Rd
High Ridge, MO 63049
Phone (636) 535-3753

Other names

  • Jena Marie Hoover Former name

Other providers in High Ridge, MO

All providers in High Ridge, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.