Individual provider Active NPI

Rosaura Cubas

  • Social Worker
  • Fayetteville, NC
National Provider Identifier
1326459686
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C010362 Issued in NC
Practice address
1317 Butterwood Cir
Fayetteville, NC 28314-0663
Phone
(254) 220-1148
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C010362 NC Primary

Addresses

Primary practice location

1317 Butterwood Cir
Fayetteville, NC 28314-0663

Mailing address

1317 Butterwood Cir
Fayetteville, NC 28314-0663
Phone (254) 220-1148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814000328 NC Practitioner - Clinical Social Worker 4082152657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C010362NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haymount Institute for Psychological Services, PLLC CurrentSince Aug 12, 2024 Accepting new patients
Haymount Institute for Psychological Services, PLLC CurrentSince Aug 12, 2024 Accepting new patients
Haymount Institute for Psychological Services, PLLC Current Accepting new patients

Locations

806 Hay St
Fayetteville, NC 28305
Phone 9108607008117

996 Helen St
Fayetteville, NC 28303
Phone (910) 635-0115

131 W Edinborough Ave
Raeford, NC 28376
Phone (910) 848-1222

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1326459686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 BUTTERWOOD CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140663",
            "telephone_number": "254-220-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 BUTTERWOOD CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140663",
            "telephone_number": "254-220-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBAS",
        "first_name": "ROSAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C010362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.