Active NPI
Mackensey Kubina, LGSW
- Social Worker
- Charlotte Hall, MD
National Provider Identifier
1508231945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 18394
- Practice address
- 30537 Potomac Way
Suite 101
Charlotte Hall, MD 20622-3179 - Phone
- (240) 718-4823
- Fax
- (301) 884-2525
- NPI assigned
- Dec 10, 2015
- Sex
- Female
- 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 | 18394 | MD | Primary |
Addresses
Primary practice location
30537 Potomac Way
Suite 101
Charlotte Hall, MD 20622-3179
Mailing address
30537 Potomac Way
Suite 101
Charlotte Hall, MD 20622-3179
Phone (240) 718-4823
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 |
|---|---|---|---|
| 18394 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1508231945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30537 POTOMAC WAY",
"address_2": "SUITE 101",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "206223179",
"telephone_number": "240-718-4823",
"fax_number": "301-884-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30537 POTOMAC WAY",
"address_2": "SUITE 101",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "206223179",
"telephone_number": "240-718-4823",
"fax_number": "301-884-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBINA",
"first_name": "MACKENSEY",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "18394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.