Active NPI
Christine Hubbard, CSW
- Clinical Social Worker
- American Fork, UT
National Provider Identifier
1568030468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9631933-3502
- Practice address
- 796 E Pacific Dr Ste C
American Fork, UT 84003-3161 - Phone
- (801) 865-2044
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9631933-3502 | UT | Primary |
Addresses
Primary practice location
796 E Pacific Dr Ste C
American Fork, UT 84003-3161
Mailing address
796 E Pacific Dr Ste C
American Fork, UT 84003-3161
Other practice location 1
1426 E 820 N
Orem, UT 84097-5481
Phone (801) 901-0402
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christine@flourishtherapy.org |
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 |
|---|---|---|---|
| 9631933-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Word Play Therapy PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Draper, UT
- NPI 1962271171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1568030468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "796 E PACIFIC DR STE C",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840033161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "796 E PACIFIC DR STE C",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840033161",
"telephone_number": "801-865-2044"
}
],
"practiceLocations": [
{
"address_1": "1426 E 820 N",
"address_purpose": "LOCATION",
"city": "Orem",
"state": "UT",
"postal_code": "840975481",
"country_code": "US",
"telephone_number": "801-901-0402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBARD",
"first_name": "CHRISTINE",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "9631933-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christine@flourishtherapy.org",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "796 E Pacific Dr Ste C",
"city": "American Fork",
"state": "UT",
"country_code": "US",
"postal_code": "840033161",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.