MEDICARE: MRS. LEIGH ANNE 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	1817-C	AR

General Provider Information

NPI Number	:	1093700601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEIGH ANNE HUDSON LCSW

Provider Business Mailing Address
First Line	:	1501 N UNIVERSITY AVE STE 412
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-5295
Country	:	US
Telephone Number	:	501-295-6385
Fax Number	:	501-399-0781

Provider Business Practice Location Address
First Line	:	1501 N UNIVERSITY AVE STE 412
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-5295
Country	:	US
Telephone Number	:	501-295-6385
Fax Number	:	501-377-9081

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	04/24/2024

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