Individual provider Active NPI

Sarah Michelle Hudson, LCSW

  • Clinical Social Worker
  • Lowell, AR
National Provider Identifier
1962946848
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6616-C Issued in AR
Practice address
515 Enterprise Dr Ste 300
Lowell, AR 72745-8982
Phone
(479) 717-7643
Fax
(479) 717-7627
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6616-C AR Primary

Addresses

Primary practice location

515 Enterprise Dr Ste 300
Lowell, AR 72745-8982

Mailing address

515 Enterprise Dr Ste 300
Lowell, AR 72745-8982
Phone (479) 717-7643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130001588 AR Practitioner - Clinical Social Worker 7113284068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians

Practice addresses (Care Compare)

2112 S 54TH St
Rogers, AR 72758-8169
Phone (479) 717-7626

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 20, 2017 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 20, 2017 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

515 Enterprise Dr
Ste 300
Lowell, AR 72745
Phone (479) 717-7626

Interoperability endpoints

  • Direct secure messaging: shudson967376@directc.mercy.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1962946848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ENTERPRISE DR STE 300",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458982",
            "telephone_number": "479-717-7643",
            "fax_number": "479-717-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ENTERPRISE DR STE 300",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458982",
            "telephone_number": "479-717-7643",
            "fax_number": "479-717-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SARAH",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6616-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, AR

Sources for this page

Verify at the official NPI Registry.