Provider Demographics
NPI:1609585033
Name:HUDSON, CELSEY JANICE (LMSW)
Entity Type:Individual
Prefix:
First Name:CELSEY
Middle Name:JANICE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CELSEY
Other - Middle Name:JANICE
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:515 S MECHANIC ST
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-1530
Mailing Address - Country:US
Mailing Address - Phone:315-408-9795
Mailing Address - Fax:
Practice Address - Street 1:16 PHILLIPS ST
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-2016
Practice Address - Country:US
Practice Address - Phone:315-764-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker