Avery Hudson, LCSW
Social Worker, Clinical in Fort Worth, TX. Individual provider (NPI-1).
NPI number1194602003
StatusActive
Last updated in NPPESAug 20, 2025
Details
- NPI
- 1194602003
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Avery Hudson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2025
- Certification date
- Aug 20, 2025
- Last updated
- Aug 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 104426 | TX | Yes |
Practice location
3509 Hulen St Ste 107Fort Worth, TX 76107-6834
Phone 817-382-7130
Mailing address
10543 Brookshire RdFort Worth, TX 76126-2641
Phone 817-247-4150
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