Active NPI 1477511202 Individual Practitioner Male Practitioner

Glenn Hudson , LICSW

Psychologist - Clinical • Longview, WA

Professional Overview & Biography Verified Profile Summary

Glenn Hudson, LICSW is a registered healthcare professional specializing in Psychologist - Clinical in Longview, WA. Practice services are available at 910 16TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

910 16th Ave

Longview, WA 986322302

Telephone 3604232890

Fax 3605779012

Associated Practice Facility / Clinic

🏢 Evergreen At Park Royal Ii, L.l.c. Facility NPI 1093700353

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Longview, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 35.0 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Longview, WA (1744 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License WA LW00005263

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 910 16TH AVE, LONGVIEW, WA 986322302 (Tel: 3604232890)

📍

Updated Business Mailing Address July 08, 2007

Registered at 9340 NE 76TH ST, VANCOUVER, WA 986623721 (Tel: 3602534912)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN HUDSON, LICSW

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LW00005263 in WA)

🟢

Initial NPI Registration & Enumeration May 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477511202

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9340 Ne 76th St

Vancouver, WA 986623721

Phone: 3602534912

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.