Individual provider Active NPI

Danielle Hubbard, LCSW

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1053171249
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258970 Issued in KY
Practice address
513 Madison Ave
Covington, KY 41011-1505
Phone
(859) 578-3200
Fax
(859) 534-2627
NPI assigned
Mar 22, 2024
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 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 258970 KY Primary

Addresses

Primary practice location

513 Madison Ave
Covington, KY 41011-1505

Mailing address

503 Farrell Dr
Covington, KY 41011-3775
Phone (859) 578-3200

Other practice location 1

12 E 5th St
Newport, KY 41071-1618
Phone (859) 578-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240410001593 KY Practitioner - Clinical Social Worker 9032557038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Mar 19, 2024 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Mar 19, 2024 Accepting new patients

Locations

2688 US Highway 227
Carrollton, KY 41008

503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214

513 Madison Ave
Fl 1
Covington, KY 41011

7459 Burlington Pike
Florence, KY 41042
Phone (859) 282-6585

12 E 5th St
Newport, KY 41071
Phone (859) 491-6510

308 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-4442

Organizations & group practices 2

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": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1053171249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113775",
            "telephone_number": "859-578-3200",
            "fax_number": "859-534-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111505",
            "telephone_number": "859-578-3200",
            "fax_number": "859-534-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "KY",
            "postal_code": "410711618",
            "country_code": "US",
            "telephone_number": "859-578-3200",
            "fax_number": "859-534-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.