Active NPI
Yvonne Zubaty, LCSW
- Clinical Social Worker
- Boscobel, WI
National Provider Identifier
1336262138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 477-123
- Practice address
- 406 Elm St
Boscobel, WI 53805-1216 - Phone
- (608) 375-2700
- NPI assigned
- Apr 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 477-123 | WI | Primary |
Addresses
Primary practice location
406 Elm St
Boscobel, WI 53805-1216
Mailing address
43008 Thunder Ridge LN
Gays Mills, WI 54631-7287
Phone (608) 872-2354
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477-123 | Other | WI | STATE LICENSE |
| 39253800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 477-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336262138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43008 THUNDER RIDGE LN",
"city": "GAYS MILLS",
"state": "WI",
"postal_code": "546317287",
"telephone_number": "608-872-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 ELM ST",
"city": "BOSCOBEL",
"state": "WI",
"postal_code": "538051216",
"telephone_number": "608-375-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUBATY",
"first_name": "YVONNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "477-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "477-123",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39253800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boscobel, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.