Individual provider Active NPI

David Francis Ubelhor, MSW, BCD

  • Clinical Social Worker
  • Robins Afb, GA
National Provider Identifier
1659348852
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003568 Issued in MO
Practice address
78TH MDG/SGHC
655 South 7TH Street Building 700/700-a
Robins Afb, GA 31098
Phone
(478) 327-0391
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003568 MO Primary

Addresses

Primary practice location

78TH MDG/SGHC
655 South 7TH Street Building 700/700-a
Robins Afb, GA 31098

Mailing address

210 Kings Crest Boulevard
David F. Ubelhor
Perry, GA 31069-9617
Phone (206) 830-0889

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

LicenseStateTypeSpecialty
003568MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Munro Psy D PA Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1659348852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 KINGS CREST BOULEVARD",
            "address_2": "DAVID F. UBELHOR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699617",
            "telephone_number": "206-830-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78TH MDG/SGHC",
            "address_2": "655 SOUTH 7TH STREET BUILDING 700/700-A",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "31098",
            "telephone_number": "478-327-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBELHOR",
        "first_name": "DAVID",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "MSW, BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robins Afb, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.