Active NPI
Robert J Cubilla, LMSW
- Social Worker
- Bolling Afb, DC
National Provider Identifier
1477322022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 903004015
- Practice address
- 356 Blanchard Dr
Bolling Afb, DC 20032-7466 - Phone
- (224) 656-4146
- NPI assigned
- Dec 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 903004015 | VA | Primary |
Addresses
Primary practice location
356 Blanchard Dr
Bolling Afb, DC 20032-7466
Mailing address
356 Blanchard Dr
Bolling Afb, DC 20032-7466
Phone (224) 656-4146
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
| License | State | Type | Specialty |
|---|---|---|---|
| 903004015 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1477322022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 BLANCHARD DR",
"city": "BOLLING AFB",
"state": "DC",
"postal_code": "200327466",
"telephone_number": "224-656-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 BLANCHARD DR",
"city": "BOLLING AFB",
"state": "DC",
"postal_code": "200327466",
"telephone_number": "224-656-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUBILLA",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "903004015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolling Afb, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.