Individual provider Active NPI

Stephen L. Tubre, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1235364936
Registry record updated May 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2077 Issued in LA
Practice address
4734 Bancroft Dr
New Orleans, LA 70122-1210
Phone
(504) 858-9431
Fax
(504) 284-6105
NPI assigned
May 25, 2009
Last updated
May 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2009

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 2077 LA Primary

Addresses

Primary practice location

4734 Bancroft Dr
New Orleans, LA 70122-1210

Mailing address

4734 Bancroft Dr
New Orleans, LA 70122-1210
Phone (504) 858-9431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2077LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243209600000",
    "number": "1235364936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 BANCROFT DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701221210",
            "telephone_number": "504-858-9431",
            "fax_number": "504-284-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 BANCROFT DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701221210",
            "telephone_number": "504-858-9431",
            "fax_number": "504-284-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBRE",
        "first_name": "STEPHEN",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-25",
        "last_updated": "2009-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.