Provider Demographics
NPI:1053861740
Name:DIDI HUDSON KIDDER LCSW PLLC
Entity Type:Organization
Organization Name:DIDI HUDSON KIDDER LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIDI
Authorized Official - Middle Name:HUDSON
Authorized Official - Last Name:KIDDER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-232-3439
Mailing Address - Street 1:750 N FIELDER RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4635
Mailing Address - Country:US
Mailing Address - Phone:214-232-3439
Mailing Address - Fax:817-275-8601
Practice Address - Street 1:750 N FIELDER RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4635
Practice Address - Country:US
Practice Address - Phone:214-232-3439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX342931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty