Active NPI
Dorothy Jean Hubbard
- Clinical Social Worker
- New York, NY
National Provider Identifier
1346648920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 064643
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 064643 | NY | MD | Pharmacist |
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.