Peggy Lubin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13476 Issued in FL

Practice address

800 Carillon Pkwy
St Petersburg, FL 33716-1125

Phone

(786) 506-2594

NPI assigned

Feb 12, 2022

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1427703099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 HERITAGE LN",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097055",
            "telephone_number": "786-506-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CARILLON PKWY",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161125",
            "telephone_number": "786-506-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "PEGGY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loyalty Home Care, Inc
• LP St. Petersburg, LLC (Golfview Healthcare Center)
• LS Helping Hand LLC
• Ltcsp St. Petersburg, LLC (Long Term Care of St. Petersburg)
• Alexander Kuang-Tsu Lu, DO
• Cheryl Lynn Lucas
• Nathan R Lucas, OTR
• Rodney Daniel Lucas, M.D.
• Amy Renee Luce, DMD
• Lucent Pricing LLC

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.