Individual provider Active NPI

Lutanya Michelle Hubbard, LICSW, LCSW-C, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1043753965
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080148 Issued in DC
Practice address
6216 Old Franconia Rd Ste B
Alexandria, VA 22310-3401
Phone
(443) 758-0333
NPI assigned
Nov 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50080148 DC Primary

Addresses

Primary practice location

6216 Old Franconia Rd Ste B
Alexandria, VA 22310-3401

Mailing address

2905 Mitchellville Rd Ste 201
Bowie, MD 20716-3989
Phone (443) 758-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181116002089 DC Practitioner - Clinical Social Worker 8729332382 Reassigns benefits to 2 organizations
I20190828001133 MD Practitioner - Clinical Social Worker 8729332382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Psych Services LLCGroup PAC ID 7911339270, 12 clinicians

Practice addresses (Care Compare)

2201 Colston Dr
Silver Spring, MD 20910-2545
Phone (301) 588-0484

2905 Mitchellville Rd
Suite 201
Bowie, MD 20716-3989
Phone (443) 758-0333

43 W McKinsey Rd
Sunrise of Sev PK
Severna Park, MD 21146-4556
Phone (410) 376-7836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080148DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Psych Services LLC CurrentSince Dec 20, 2019 Accepting new patients
Mental Health Services LLC CurrentSince Jun 1, 2019 Accepting new patients
Solutions Life Coaching Services LLC Clinical CurrentSince Nov 1, 2018 Accepting new patients

Locations

273 Peninsula Farm Rd
Ste F
Arnold, MD 21012
Phone (410) 647-8866

2905 Mitchellville Rd
Ste 201
Bowie, MD 20716
Phone (443) 758-0333

2535 Evergreen Rd
Gambrills, MD 21054
Phone (410) 941-3119

2201 Colston Dr
Silver Spring, MD 20910
Phone (301) 495-7366

6216 Old Franconia Rd
Ste B
Alexandria, VA 22310
Phone (443) 758-0333

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1043753965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD STE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163989",
            "telephone_number": "443-758-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 OLD FRANCONIA RD STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103401",
            "telephone_number": "443-758-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "LUTANYA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "LICSW, LCSW-C, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-25",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.