Nicholas Szubiak, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3637 Issued in HI

Practice address

64-1035 Mamalaho Hwy
Suite O
Kamuela, HI 96743-8440

Phone

(808) 895-7679

NPI assigned

May 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: nicholas.szubiak@hawaiihie.medicity.net

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

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1740508688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-1125 N KANIKU DR",
            "address_2": "APT 1106",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437722",
            "telephone_number": "808-895-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1035 MAMALAHO HWY",
            "address_2": "SUITE O",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438440",
            "telephone_number": "808-895-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUBIAK",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-15",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3637",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73-069952",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "11892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelea Michelle Suber, ND
• Elyse Marie Surette, DPT
• Jean Ann Swift, JEAN SWIFT, D.O.
• Symbiosis Inc
• Gerard W Szczygiel, DO
• Nicole Tabandera
• Tracy Tagaca, M.A., M.ED.
• Katilina Lynn Tanner, MS
• Luke Matthew Tarver, D.D.S.
• Andrew George Tenhave, M.D.

• All providers in Kamuela, HI
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.