Individual provider Active NPI

Jenifer Cubine

  • Clinical Social Worker
  • Longview, TX
National Provider Identifier
1295537413
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69023 Issued in TX
Practice address
2000 E Cotton St
Longview, TX 75602-1514
Phone
(903) 500-2005
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 69023 TX Primary

Addresses

Primary practice location

2000 E Cotton St
Longview, TX 75602-1514

Mailing address

2000 E Cotton St
Longview, TX 75602-1514
Phone (903) 500-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250429003037 TX Practitioner - Clinical Social Worker 7012433360 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69023TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sabine Valley Regional MHMR Center Clinical Current Accepting new patients
Strong As Stone PLLC CurrentSince Apr 27, 2025 Accepting new patients
Sabine Valley Regional MHMR Center CurrentSince Apr 1, 2025 Accepting new patients

Locations

1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928

2000 E Cotton St
Ste 700
Longview, TX 75602
Phone (903) 500-2005

2435 College Dr
Texarkana, TX 75501
Phone (903) 255-1240

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1295537413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E COTTON ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756021514",
            "telephone_number": "903-500-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E COTTON ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756021514",
            "telephone_number": "903-500-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBINE",
        "first_name": "JENIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.