Tiara Chante Hudson, MSW, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10412-C Issued in AR

Practice address

1706 W Gilligan Ave
Rogers, AR 72758-5500

Phone

(479) 323-1172

NPI assigned

Apr 11, 2019

Last updated

Oct 10, 2022By 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 4

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.

• Golden Life Therapy and Wellness Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rogers, AR
  • NPI 1447975610
  NPD Authorized official

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1801359310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N DIXIELAND RD STE D2",
            "address_2": "BOX 326",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561123",
            "telephone_number": "479-323-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W GILLIGAN AVE",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727585500",
            "telephone_number": "479-323-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "TIARA",
        "middle_name": "CHANTE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW0006558",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "114405",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022024976",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10412-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Huckabee
• Robert Scott Hudgins, CRNA
• Rachel Hudman, MSN, APRN, FNP-C
• Faith Hudnall
• James Tristan Ray Hudson, DDS
• Wilson Huett, MD
• Morgan Hughes, RN
• Sara Hughes, PT
• Abbey C Hulett
• Stephanie Hulett, APRN

• Clinical Social Worker in Rogers, AR
• Providers in Rogers, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.