Mary Lee Hudson, BSW
Case Manager/Care Coordinator in Miramar, FL. Individual provider (NPI-1).
NPI number1790925519
StatusActive
Last updated in NPPESMar 6, 2009
Details
- NPI
- 1790925519
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Lee Hudson
- Credential
- BSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2009
- Last updated
- Mar 6, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | FL | Yes |
Practice location
3019 W Missionwood Ln35-A
Miramar, FL 33025-2943
Phone 954-432-7665 · Fax 954-433-1015
Mailing address
3019 W Missionwood Ln35-A
Miramar, FL 33025-2943
Phone 954-432-7665 · Fax 954-433-1015
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Case Manager/Care Coordinator providers in Miramar · All 3,902 providers in Miramar
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