Individual provider Active NPI

Livia Margaret Kubica, LMSW

  • Social Worker
  • Watertown, NY
National Provider Identifier
1346771110
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097680 Issued in NY
Practice address
167 Polk St
Suite 300
Watertown, NY 13601-2097
Phone
(315) 782-7445
Fax
(315) 785-5637
NPI assigned
Mar 23, 2017
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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 097680 NY Primary

Addresses

Primary practice location

167 Polk St
Suite 300
Watertown, NY 13601-2097

Mailing address

PO Box 6550
Watertown, NY 13601-6550
Phone (315) 788-7430

Other names 1

  • Livia Margaret Steen Former 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
097680NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Home of Jefferson County PastSince Aug 15, 2016 Accepting new patients
Children's Home of Jefferson County Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1346771110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6550",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016550",
            "telephone_number": "315-788-7430",
            "fax_number": "315-785-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 POLK ST",
            "address_2": "SUITE 300",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012097",
            "telephone_number": "315-782-7445",
            "fax_number": "315-785-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICA",
        "first_name": "LIVIA",
        "middle_name": "MARGARET",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIVIA",
            "last_name": "STEEN",
            "middle_name": "MARGARET",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.