Active NPI
Beth Shubert, PA
- Clinical Social Worker
- Gainesville, FL
National Provider Identifier
1538430822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW1750
- Legal business name
- BETH SHUBERT, PA
- Practice address
- 2630 NW 41St St Ste a
Gainesville, FL 32606-6666 - Phone
- (352) 373-7715
- Fax
- (352) 372-0016
- NPI assigned
- Jan 19, 2012
- Last updated
- Jan 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth Shubert
- Title
- President
- Phone
- (352) 373-7715
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW1750 | FL | Primary |
Addresses
Primary practice location
2630 NW 41St St Ste a
Gainesville, FL 32606-6666
Mailing address
2630 NW 41St St Ste a
Gainesville, FL 32606-6666
Phone (352) 373-7715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2630 NW 41st St
Ste A
Gainesville, FL 32606
Phone (352) 373-7715
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Gainesville, FL
- NPI 1285769570
-
- Clinical Social Worker
- Gainesville, FL
- NPI 1003013475
-
- Clinical Social Worker
- Gainesville, FL
- NPI 1740459890
-
- Clinical Psychologist
- Gainesville, FL
- NPI 1013068584
-
- Psychologist
- Gainesville, FL
- NPI 1336159326
-
- Mental Health Counselor
- Gainesville, FL
- NPI 1356571327
-
- Clinical Social Worker
- Gainesville, FL
- NPI 1386981652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326931200000",
"number": "1538430822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 NW 41ST ST STE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066666",
"telephone_number": "352-373-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 NW 41ST ST STE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066666",
"telephone_number": "352-373-7715",
"fax_number": "352-372-0016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETH SHUBERT, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A",
"authorized_official_last_name": "SHUBERT",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-373-7715"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW1750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.