MEDICARE: CHERIE D HUDSON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	28923	CA
2	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1548492044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERIE D HUDSON LCSW

Provider Business Mailing Address
First Line	:	5228 E BRITTAIN ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1818
Country	:	US
Telephone Number	:	562-304-5779
Fax Number	:

Provider Business Practice Location Address
First Line	:	5228 E BRITTAIN ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1818
Country	:	US
Telephone Number	:	562-304-5779
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2009
Last Update Date	:	01/03/2026

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Directions to “ CHERIE D HUDSON LCSW” Practice Location

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