Healthcare Provider Details

I. General information

NPI: 1467099382
Provider Name (Legal Business Name): KATHERIN HUDKINS LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2019
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6B GARAGE RD
SUNDERLAND MA
01375-9616
US

IV. Provider business mailing address

PO BOX 6
SUNDERLAND MA
01375-0006
US

V. Phone/Fax

Practice location:
  • Phone: 413-341-6788
  • Fax:
Mailing address:
  • Phone: 413-341-6788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW122941
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: