National Provider Identifier
Tessa R Hudson, LCSW
Tessa R Hudson, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 229-0509.
Profile Overview
- NPI
- 1790215812
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 13, 2017
- Last Updated
- February 05, 2025
Practice Location
- 301 W State St
- Ithaca, NY 14850-5431
Phone: (607) 229-0509
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1790215812
- Entity Type
- Individual
- Last Name
- Hudson
- First Name
- Tessa
- Middle Name
- R
- Credential
- LCSW
- Mailing Street Address
- 301 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5431
- Mailing Country
- US
- Practice Street Address
- 301 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5431
- Practice Country
- US
- Practice Phone
- (607) 229-0509
- Enumeration Date
- June 13, 2017
- Last Updated
- February 05, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 05, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)