Michael Jan Kubat, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005075 Issued in VA

Practice address

319 Edwin Dr
Ste 103
Virginia Beach, VA 23462-4541

Phone

(757) 497-9545

Fax

(757) 497-8192

NPI assigned

Jun 16, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gloria K Gurdziel MD LTD

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1538466388
  NPD (past)
• Lakeside Psychological Center PC

  • Psychologist
  • Virginia Beach, VA
  • NPI 1104044528
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184629164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CHIPPING LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556802",
            "telephone_number": "757-473-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 EDWIN DR",
            "address_2": "STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624541",
            "telephone_number": "757-497-9545",
            "fax_number": "757-497-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBAT",
        "first_name": "MICHAEL",
        "middle_name": "JAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8940525",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Luke Krueger
• Jennifer F Krup, MD
• Leslie J Kryzanowski, M.D.
• Min Yi Kuang
• Meagan Travers Kubat, PHARMD
• Ted M Kubicki, M.D.
• Paula Charlene Kubovchik, MS, CCC, SLP
• Sean Michael Kuczma, D.O.
• Peter Gillen Kuenzli, DDS
• Zachary Gillen Kuenzli, D.D.S.

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.