MS. ANNIE WALLACE HUDSON (NPI# 1710185764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710185764 |
| Entity Type | Individual |
| Full Name | MS. ANNIE WALLACE HUDSON |
| Credential | L.C.S.W. |
| Practice Address |
960 Rand Rd Suite 215 Des Plaines IL 60016-2352 |
| Practice Telephone | 8476992100 |
| Practice Fax Number | 8476992180 |
| Mailing Telephone | 8476992100 |
| Mailing Fax Number | 8476992180 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CAQH | 11721218 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649648221 | Annie Hudson | Physical Therapy Assistant | 1929 Paula Dr, Jonesboro, AR 72404-8005 | 2015-09-12 |
| 1740703305 | Annie Hudson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-25 |
| Street Address |
960 RAND RD SUITE 215 |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60016-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154338937 | Janet L Horton | Chiropractor | 960 Rand Rd, Suite 225, Des Plaines, IL 60016-2352 | 2006-08-02 |
| 1083147052 | Avmed Surgical Supply Group, Inc | Durable Medical Equipment & Medical Supplies | 960 Rand Rd, Suite 110, Des Plaines, IL 60016-2352 | 2017-04-06 |
| 1922249176 | Sally Martin-ranft | Physical Therapist | 960 Rand Rd, Suite 113b, Des Plaines, IL 60016-2352 | 2009-03-18 |
| 1417102336 | Barbara Fenner Acker | Social Worker | 960 Rand Rd, Suite 215, Des Plaines, IL 60016-2352 | 2008-11-19 |
| 1033384003 | Roots Pharmacy Solutions | Pharmacy | 960 Rand Rd, Ste 101, Des Plaines, IL 60016-2352 | 2008-04-29 |
| 1649454463 | Annette Arzt | Psychologist | 960 Rand Rd, 219-a, Des Plaines, IL 60016-2352 | 2007-12-28 |
| 1790983880 | Janelle A Dimichele | Social Worker | 960 Rand Rd, Suite 905, Des Plaines, IL 60016-2352 | 2007-07-10 |
| 1760684310 | Riverside Health Clinic, P.C. | Chiropractor | 960 Rand Rd, Suite 212, Des Plaines, IL 60016-2352 | 2007-06-05 |
| 1326240615 | Horton Chiropractic, Ltd. | Chiropractor | 960 Rand Rd, Suite 225, Des Plaines, IL 60016-2352 | 2007-05-31 |
| 1700921210 | Michael Alan Hudson | Chiropractor | 960 Rand Rd, Suite 212, Des Plaines, IL 60016-2352 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1407367022 | Vcare Pharmacy Inc | Pharmacy | 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 | 2017-10-23 |
| 1649799610 | George N Hotousiotis | Pharmacist | 10 East Golf Road, Des Plaines, IL 60016 | 2017-09-11 |
| 1619494838 | Abdul M Shamsuddin | Physical Therapist | 2555 Suffield St, Des Plaines, IL 60016 | 2017-08-28 |
| 1063960482 | Rachel Kimbrough | Counselor | 100 N River Road, Des Plaines, IL 60016 | 2016-09-14 |
| 1902250178 | Perfect Storm Chiropractic, LLC | Chiropractor | 565 Concord Ln, Des Plaines, IL 60016 | 2016-04-14 |
| 1255796611 | Nektaria Goudis | Psychologist | 950 Lee Street, Des Plaines, IL 60016 | 2015-12-29 |
| 1831501352 | Gary R. Kuntz | Dentist | 1173 Algonquin Rd., Des Plaines, IL 60016 | 2014-06-02 |
| 1558773754 | Midwest Anesthesia and Pain Specialists, Sc | Pain Medicine | 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 | 2014-05-22 |
| 1508282377 | Maciej Padowski | Emergency Medicine | 9500 Greenwood Dr, Des Plaines, IL 60016 | 2014-03-17 |
| Find all providers in zip 60016 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417430216 | Tomy Kannala | Social Worker | 919 Arnold Ct, Des Plaines, IL 60016-5868 | 2018-09-08 |
| 1790134039 | Dorothea Swiderska | Social Worker | 9226 Golf Rd, Apt. 115, Des Plaines, IL 60016-1771 | 2016-06-07 |
| 1528425741 | Kelly Sappington | Social Worker | 1001 E Touhy Ave Ste 300, Des Plaines, IL 60018-5800 | 2016-01-19 |
| 1639585854 | Gloria Salmeron | Social Worker | 1651 Greenleaf Ave, Des Plaines, IL 60018-3832 | 2014-07-08 |
| 1053747576 | Kathleen C Petersen | Social Worker | 591 Columbia Ave, Des Plaines, IL 60016-3062 | 2013-09-16 |
| 1386085892 | Devon Baxter Steshetz | Social Worker | 1535 Ellinwood Ave, Des Plaines, IL 60016-4553 | 2013-07-12 |
| 1306079454 | Germaine M Clarno | Social Worker | 1330 Webford Ave, Des Plaines, IL 60016-4309 | 2009-08-24 |
| 1790916195 | Susan D. Rosseland | Social Worker | 807 Country Ln, Des Plaines, IL 60016-8811 | 2009-08-03 |
| 1275770927 | Playful Healing Center, Inc | Social Worker | 1430 E Thacker St Ste 4, Des Plaines, IL 60016-6460 | 2009-01-17 |
| 1598987026 | Catherine M Wood | Social Worker | 950 Lee St Ste 210, Des Plaines, IL 60016 | 2007-05-03 |
| Find all providers in DES PLAINES | ||||
| City | DES PLAINES |
| Zip Code | 60016 |
Please comment or provide details below to improve the information on MS. ANNIE WALLACE HUDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.