Susan Mary Gubilee, MS, MSW
Individual provider Active NPI Clinical Social Worker · Portland, CT
NPI 1861667776 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1861667776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 11 Russell Ave
Portland, CT 06480-1433 - Phone
- (860) 342-4079
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
11 Russell Ave
Portland, CT 06480-1433
Mailing address
11 Russell Ave
Portland, CT 06480-1433
Phone (860) 342-4079
Other providers in Portland, CT
- Morgan Bryant Feshler
- Yiannis Zannis Gazis
- Peter Gletzakos
- Donna S. Grisham
- Wendy Griswold
- Linda Pantano Hassett
- Deborah B. Heilman
- Prakash V Huded
- Sumangala F Huded
- Kent Huynh
All providers in Portland, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.