DORIS HUDSON (LCSW) – Social Worker, NPI 1669505848

DORIS HUDSON (LCSW) is a healthcare provider. based in Clarksville, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 1679-C (AR). The NPI Number for DORIS HUDSON (LCSW) is 1669505848

Main info

Female
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DORIS HUDSON (LCSW)
NPI
1669505848
Phone
(501) 315-3344
Address
522 MILL RD
Enumeration Date
14 March 2007
Last Update Date
13 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4793377327
Graduation Year
1981 (45 years ago)
PAC ID
6709771595
Group Practice PAC ID
1355788977
Professional Enrollment ID
I20040219000872
Address ID
AR728307046CL1124XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

Provider Addresses for DORIS HUDSON (LCSW)

  • 522 MILL RD

    CLARKSVILLE, AR 728308511

    Phone: (501) 315-3344

    Type: Location

  • PO BOX 1589

    BENTON, AR 720181589

    Phone: (501) 315-3344

    Fax: (479) 963-2144

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040219000872IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72830)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355788977View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
P S Y C H I A T R YAR
Mental Health CounselorAR

Reviews

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Frequently asked questions

What is DORIS HUDSON (LCSW)'s NPI number?
DORIS HUDSON (LCSW)'s NPI is 1669505848 — the number used across U.S. healthcare to identify this provider.
Is DORIS HUDSON (LCSW) shown as active in public data?
Registry records indicate DORIS HUDSON (LCSW) maintains an active NPI.
What area of care is associated with DORIS HUDSON (LCSW)?
DORIS HUDSON (LCSW)'s record emphasizes Social Worker. Clinical services aligned with this taxonomy classification.
Is DORIS HUDSON (LCSW) located near Clarksville?
DORIS HUDSON (LCSW) currently maps to Clarksville, Arkansas in this extract.
Does DORIS HUDSON (LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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