Active NPI
Laural Vander Kooy Tubbs, LCSW
- Clinical Social Worker
- Carlsbad, CA
National Provider Identifier
1861636185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 19420
- Practice address
- 3150 El Camino Real,
Suite C
Carlsbad, CA 92005 - Phone
- (619) 850-2829
- NPI assigned
- Apr 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS 19420 | CA | Primary |
Addresses
Primary practice location
3150 El Camino Real,
Suite C
Carlsbad, CA 92005
Mailing address
3150 El Camino Real,
Suite C
Carlsbad, CA 92005
Phone (619) 850-2829
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annette Conway Psychology, PC | 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.
-
- Clinical Psychologist
- Solana Beach, CA
- NPI 1083959092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1861636185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 EL CAMINO REAL,",
"address_2": "SUITE C",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92005",
"telephone_number": "619-850-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 EL CAMINO REAL,",
"address_2": "SUITE C",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92005",
"telephone_number": "619-850-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBS",
"first_name": "LAURAL",
"middle_name": "VANDER KOOY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 19420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.