Nicole Taylor Kubera, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.028795 Issued in IL

Practice address

155 N Michigan Ave Ste 202&723
Chicago, IL 60601-7511

Phone

(312) 278-3054

NPI assigned

Oct 26, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1598429565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 N LARRABEE ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146300",
            "telephone_number": "832-622-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 202&723",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017511",
            "telephone_number": "312-278-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBERA",
        "first_name": "NICOLE",
        "middle_name": "TAYLOR",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kubacki, MD
• Anne Elisabeth Kubal, PH.D.
• Jessica Kubasak, PT, DPT
• Kube Psychological Services LLC
• Erin Rose Kube, PHD
• Justin Anthony Kubert
• Brinsley Joallen Kubiak, MS, RDN, LDN
• Rachel Margaret Kubiak
• Lucille M. Kubica, R.N.
• Tiana Shevon Kubik

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.