Active NPI
Alexandra Lynn Gulbis, LCSW
- Social Worker
- Isleton, CA
National Provider Identifier
1568911451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CALCSW-115100
- Practice address
- PO Box 531
Isleton, CA 95641 - Phone
- (818) 697-8707
- NPI assigned
- Oct 3, 2016
- Last updated
- Jun 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | CALCSW-115100 | CA | Primary |
Addresses
Primary practice location
PO Box 531
Isleton, CA 95641
Mailing address
PO Box 531
Isleton, CA 95641
Phone (818) 697-8707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 14, 2024 through Dec 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CALCSW-115100 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1568911451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 531",
"city": "ISLETON",
"state": "CA",
"postal_code": "95641",
"telephone_number": "818-697-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 531",
"city": "ISLETON",
"state": "CA",
"postal_code": "95641",
"telephone_number": "818-697-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULBIS",
"first_name": "ALEXANDRA",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "CALCSW-115100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.