Provider Demographics
NPI:1518407949
Name:HUDMON, SARAH N (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:N
Last Name:HUDMON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9417 BIRCHWOOD CT W
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-7651
Mailing Address - Country:US
Mailing Address - Phone:240-457-0026
Mailing Address - Fax:
Practice Address - Street 1:9093 RIDGEFIELD DR
Practice Address - Street 2:#207
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6710
Practice Address - Country:US
Practice Address - Phone:240-457-0026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-04
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD198891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical