Individual provider Active NPI

F. Randolph Hulbert, LCSW

  • Clinical Social Worker
  • Jamestown, NY
National Provider Identifier
1366567992
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R035823 Issued in NY
Practice address
517 Spring St
Jamestown, NY 14701-5323
Phone
(716) 484-9840
Fax
(716) 664-5186
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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 R035823 NY Primary

Addresses

Primary practice location

517 Spring St
Jamestown, NY 14701-5323

Mailing address

14 Mari LN
Frewsburg, NY 14738-9524
Phone (716) 569-2077

Other names 1

  • Mr. Frederick Randolph Hulbert 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
R035823NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Counseling, LCSW PastSince Feb 12, 2023 Accepting new patients
Hulbert Counseling Services LCSW PC Clinical PastSince Jul 1, 2004 Accepting new patients
Dawn M Walker, LCSW, PLLC Clinical PastSince Apr 5, 2012 Accepting new patients

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1366567992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MARI LN",
            "city": "FREWSBURG",
            "state": "NY",
            "postal_code": "147389524",
            "telephone_number": "716-569-2077",
            "fax_number": "716-664-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SPRING ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015323",
            "telephone_number": "716-484-9840",
            "fax_number": "716-664-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "F.",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R035823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERICK",
            "last_name": "HULBERT",
            "middle_name": "RANDOLPH",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.