LATRESSA J FUDGE MSW
NPI 1386993780
Social Worker in Orlando, FL

Q: What is Latressa Fudge's NPI number?

The NPI number for Latressa Fudge is 1386993780. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Q: What is Latressa Fudge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Latressa Fudge enrolled in Medicare?

No. Latressa Fudge has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Latressa Fudge was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2012Opted out of Medicare · through Feb 10, 2028

1010 EXECUTIVE CENTER DR, ORLANDO, FL 32803(407) 920-3321 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Latressa J Fudge Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATRESSA J FUDGE MSW (NPI 1386993780) is an individual social worker in Orlando, Florida and active in the NPI registry since August 2012. She has opted out of Medicare through February 10, 2028.

NPPES Registry Identity

NPI1386993780

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameLATRESSA J FUDGECredential: MSW

Location Address1010 EXECUTIVE CENTER DROrlando, FL 32803-3529

Mailing Address1010 Executive Center DriveOrlando, FL 32803 · (407) 920-3321

Phone(407) 920-3321

Sole ProprietorYes

Enumeration DateAugust 31, 2012

✔ NPI 1386993780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1010 EXECUTIVE CENTER DR, Orlando, FL 32803

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Latressa J Fudge Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2024 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2024

Opt-Out In Effect ThroughFebruary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL DELOACH

Case Manager/Care Coordinator

1010 EXECUTIVE CENTER DR, SUITE 250
ORLANDO, FL 32803

Orange County (407) 367-1560

MRS. FAITH SCOTT MSW

Social Worker

1010 EXECUTIVE CENTER DR, SUITE 100
ORLANDO, FL 32803

Orange County (321) 281-3840

LISA MCREYNOLDS LMHC

Counselor (Mental Health)

1010 EXECUTIVE CENTER DR, SUITE #100
ORLANDO, FL 32803

Orange County (321) 281-3840

MS. ALLYSON MARY NIEMIER BS

Social Worker

1010 EXECUTIVE CENTER DR
ORLANDO, FL 32803

Orange County (407) 505-9172

TIA R LLEWELLYN

Case Manager/Care Coordinator

1010 EXECUTIVE CENTER DR, SUITE 250
ORLANDO, FL 32803

Orange County (407) 367-1560

JAMIE ANN BURGMAN B.A.

Case Manager/Care Coordinator

1010 EXECUTIVE CENTER DR
ORLANDO, FL 32803

Orange County (321) 281-3840

MRS. LESLEY FAYE GREEN M.S., BCBA

Behavior Analyst

1010 EXECUTIVE CENTER DR, SUITE 100
ORLANDO, FL 32803

Orange County (321) 281-3840

DEVEREUX FLORIDA

Clinic/Center (Community Health)

1010 EXECUTIVE CENTER DR, 100
ORLANDO, FL 32803

Orange County (321) 281-3840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latressa Fudge's NPI number?

The NPI number for Latressa Fudge is 1386993780. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Where is Latressa Fudge located?

Latressa Fudge practices at 1010 Executive Center Dr, Orlando, FL 32803. The listed phone number is (407) 920-3321.

What is Latressa Fudge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Latressa Fudge enrolled in Medicare?

No. Latressa Fudge has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Latressa Fudge was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.