Provider Demographics
NPI:1790704781
Name:HUDSON, FRANCIS XAVIER (LCSW LCADC)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:XAVIER
Last Name:HUDSON
Suffix:
Gender:M
Credentials:LCSW LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2809
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08362
Mailing Address - Country:US
Mailing Address - Phone:856-691-9310
Mailing Address - Fax:856-691-1832
Practice Address - Street 1:629 EAST WOOD STREET
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-691-9310
Practice Address - Fax:856-691-1832
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2017-03-21
Deactivation Date:2012-01-03
Deactivation Code:
Reactivation Date:2012-01-25
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00049700101YA0400X
NJ44SC001865001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)