Individual provider Active NPI

Stefanie Kubinak, LMSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1407204936
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095138 Issued in NY
Practice address
2590 Frisby Ave
Bronx, NY 10461-3240
Phone
(718) 239-1610
Fax
(718) 792-7053
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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 095138 NY Primary

Addresses

Primary practice location

2590 Frisby Ave
Bronx, NY 10461-3240

Mailing address

2590 Frisby Ave
Bronx, NY 10461-3240
Phone (718) 239-1610

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
095138NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1407204936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 FRISBY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613240",
            "telephone_number": "718-239-1610",
            "fax_number": "718-792-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 FRISBY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613240",
            "telephone_number": "718-239-1610",
            "fax_number": "718-792-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBINAK",
        "first_name": "STEFANIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.