Organization Active NPI

Hulbert Counseling Services LCSW PC

  • Clinical Social Worker
  • Jamestown, NY
National Provider Identifier
1720120629
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO37505 Issued in NY
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

Updated by the provider on May 15, 2009

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
331451OtherNYMHN
6209032OtherNYINDEPENDENT HEALTH

National Provider Directory

National Provider Directory

Locations

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.

View all 18

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.

Verify at the official NPI Registry.