Active NPI
Susan W Hulbert, LCSW
- Clinical Social Worker
- Jamestown, NY
National Provider Identifier
1699891762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R037505
- Practice address
- 517 Spring St
Jamestown, NY 14701-5323 - Phone
- (716) 484-9840
- Fax
- (716) 664-5186
- NPI assigned
- Mar 21, 2007
- 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 | R037505 | NY | Primary |
Addresses
Primary practice location
517 Spring St
Jamestown, NY 14701-5323
Mailing address
14 Mari Lane
Frewsburg, NY 14738
Phone (716) 569-2077
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R037505 | NY | MD | Clinical Social Worker |
| 037505 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawn M Walker, LCSW, PLLC | Clinical | Current | Accepting new patients |
| Breakthrough Counseling, LCSW | Past | Accepting new patients |
Locations
552 Linden Ave
East Aurora, NY 14052
Phone (716) 545-0314
Organizations & group practices 2
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.
-
- Clinical Social Worker
- East Aurora, NY
- NPI 1184982316
-
- Mental Health Counselor
- Jamestown, NY
- NPI 1487351565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1699891762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MARI LANE",
"city": "FREWSBURG",
"state": "NY",
"postal_code": "14738",
"telephone_number": "716-569-2077",
"fax_number": "716-664-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 SPRING ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147015323",
"telephone_number": "716-484-9840",
"fax_number": "716-664-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULBERT",
"first_name": "SUSAN",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R037505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.