Active NPI
Hulbert Counseling Services LCSW PC
- Clinical Social Worker
- Jamestown, NY
National Provider Identifier
1720120629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO37505
- Legal business name
- HULBERT COUNSELING SERVICES LCSW PC
- Practice address
- 517 Spring St
Jamestown, NY 14701-5323 - Phone
- (716) 484-9840
- Fax
- (716) 664-5186
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan W Hulbert, LCSW
- Title
- Licensed Clinical Social Worker,VP
- Phone
- (716) 484-9840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RO37505 | NY | Primary |
Addresses
Primary practice location
517 Spring St
Jamestown, NY 14701-5323
Mailing address
517 Spring St
Jamestown, NY 14701-5323
Phone (716) 484-9840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331451 | Other | NY | MHN |
| 6209032 | Other | NY | INDEPENDENT HEALTH |
National Provider Directory
National Provider DirectoryLocations
552 Linden Ave
East Aurora, NY 14052
Phone (716) 545-0314
517 Spring St
Jamestown, NY 14701
Phone (716) 484-9840
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242345600000",
"number": "1720120629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"organization_name": "HULBERT COUNSELING SERVICES LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2009-05-15",
"status": "A",
"authorized_official_last_name": "HULBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER,VP",
"authorized_official_telephone_number": "716-484-9840",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO37505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "331451",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "6209032",
"state": "NY"
}
],
"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.