Active NPI
Perry Hudson, MSW
- Clinical Social Worker
- Merrillville, IN
National Provider Identifier
1861004939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 521 E 86TH Ave Ste H
Merrillville, IN 46410-6236 - Phone
- (219) 323-3311
- NPI assigned
- Aug 20, 2020
- 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 | Primary |
Addresses
Primary practice location
521 E 86TH Ave Ste H
Merrillville, IN 46410-6236
Mailing address
5205 W 75TH Ave
Schererville, IN 46375-3414
Phone (219) 677-5168
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | TheraNest | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pillars of Wellness | Current | Accepting new patients |
Locations
521 E 86th Ave
Ste H
Merrillville, IN 46410
Phone (219) 323-3311
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.
-
- Psychologist
- Schererville, IN
- NPI 1588105225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1861004939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 W 75TH AVE",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463753414",
"telephone_number": "219-677-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E 86TH AVE STE H",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106236",
"telephone_number": "219-323-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "PERRY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "TheraNest",
"affiliation": "N",
"endpointDescription": "Mental Health Software & Therapy Notes Software",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "521 E 86th Ave Ste H",
"city": "Merrillville",
"state": "IN",
"country_code": "US",
"postal_code": "464106236",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.