Provider Demographics
NPI:1003013822
Name:HUDSON, VERNEKA CHANETTE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:VERNEKA
Middle Name:CHANETTE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 WILMONT LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-3233
Mailing Address - Country:US
Mailing Address - Phone:757-872-9092
Mailing Address - Fax:
Practice Address - Street 1:857 WILMONT LN
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-3233
Practice Address - Country:US
Practice Address - Phone:757-872-9092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040058971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical