Roman Bubela, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW110457 Issued in CA

Practice address

11512 B Ave
Auburn, CA 95603-2605

Phone

(530) 889-7230

NPI assigned

Feb 10, 2017

Last updated

Dec 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1457899353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 B AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032605",
            "telephone_number": "916-508-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 B AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032605",
            "telephone_number": "530-889-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBELA",
        "first_name": "ROMAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW110457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457899353",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Wilson Brown, D.D.S.
• Ronald Dene Brown, PT PHYSICAL THERAPIS
• Tina Brown
• David Brownstein, LCSW
• Cynthia Brundage, LCSW
• Michael James Buck, LCSW
• Diane Jean Buckman, P.T.
• Lisa Ann Buckwalter, FNP
• Jennifer Danelle Buer
• Thang Peter Bui

• Clinical Social Worker in Auburn, CA
• Providers in Auburn, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.