Individual provider Active NPI

Dorothy Jean Hubbard

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1346648920
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
064643 Issued in NY
Practice address
115 West 27 Street 4TH Floor
Training Institute for Mental Health
New York, NY 10001-6217
Phone
(212) 627-8181
Fax
(646) 638-3025
NPI assigned
Dec 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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 064643 NY Primary

Addresses

Primary practice location

115 West 27 Street 4TH Floor
Training Institute for Mental Health
New York, NY 10001-6217

Mailing address

303 West 66 Street
#5Aw
New York, NY 10023-6470
Phone (212) 627-8181

Other names 1

  • Ms. Dorothy Jean Hubbard Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
064643NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1346648920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WEST 66 STREET",
            "address_2": "#5AW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236470",
            "telephone_number": "212-627-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WEST 27 STREET 4TH FLOOR",
            "address_2": "TRAINING INSTITUTE FOR MENTAL HEALTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016217",
            "telephone_number": "212-627-8181",
            "fax_number": "646-638-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "DOROTHY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "064643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "HUBBARD",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.