Active NPI
Hazel J Hudson-Parker, LCSW-C
- Clinical Social Worker
- Sparrows Point, MD
National Provider Identifier
1831448729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18250
- Practice address
- 4615 Sandwood Rd
Sparrows Point, MD 21219-2371 - Phone
- (443) 570-3537
- NPI assigned
- Sep 6, 2012
- Sex
- Female
- 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 | 18250 | MD | Primary |
Addresses
Primary practice location
4615 Sandwood Rd
Sparrows Point, MD 21219-2371
Mailing address
4615 Sandwood Road
Sparrows Point, MD 21219
Phone (443) 242-7734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336116100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241023000009 | MD | Practitioner - Clinical Social Worker | 3779016282 | Practice locations: Baltimore, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18250 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1831448729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 SANDWOOD ROAD",
"city": "SPARROWS POINT",
"state": "MD",
"postal_code": "21219",
"telephone_number": "443-242-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 SANDWOOD RD",
"city": "SPARROWS POINT",
"state": "MD",
"postal_code": "212192371",
"telephone_number": "443-570-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON-PARKER",
"first_name": "HAZEL",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "18250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336116100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparrows Point, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.