IndividualActive
Glenn Hudson, LICSW
NPI 1477511202 · Clinical Psychologist · Longview, WA
Provider details
- NPI number
- 1477511202
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- License
- LW00005263 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
910 16th Ave
Longview, WA 98632-2302
Phone: (360) 423-2890
Fax: (360) 577-9012
Street-level locationGet directions
Mailing address
9340 Ne 76th St
Vancouver, WA 98662-3721
Registry dates
- Enumerated
- 2006-05-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.