Kim Lubin
Individual provider Active NPI Clinical Social Worker · Hood River, OR
NPI 1386090348 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1386090348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L6945 (OR)
- Practice address
- 4800 Frazier Dr
Hood River, OR 97031-9789 - Phone
- (253) 209-1636
- NPI assigned
- May 9, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6945 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L6945 | OR | Yes |
Addresses
Primary practice location
4800 Frazier Dr
Hood River, OR 97031-9789
Mailing address
4800 Frazier Dr
Hood River, OR 97031-9789
Phone (253) 209-1636
Other providers in Hood River, OR
- Adelina Lopez
- Charalla Dee Lopez
- Constantino Lopez
- Aaron M Loyd
- Lukas Lubchenco
- Audrey Lukey
- Josefina Luna
- Sarah Jean Lundy
- Heather Mary Sponsel Lytle
- M. J. Dienberg DDS PLLC
All providers in Hood River, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.