Kimberly Hubeck, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0070113 Issued in VT

Practice address

1 Mill St
Suite RL-29
Burlington, VT 05401-1530

Phone

(802) 578-7822

Fax

(802) 660-4085

NPI assigned

Oct 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Transitional Services for Youth and Families

  • Community/Behavioral Health Agency
  • Burlington, VT
  • NPI 1285982884
  NPD (past)

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1922350990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "address_2": "SUITE RL-29",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530",
            "telephone_number": "802-578-7822",
            "fax_number": "802-660-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "address_2": "SUITE RL-29",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530",
            "telephone_number": "802-578-7822",
            "fax_number": "802-660-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBECK",
        "first_name": "KIMBERLY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0070113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Howe, M.D.
• Julia Howe, MS, LCHMC
• Betsy Hoza, PHD
• Joshua Hsu
• Richard Nicholas Hubbell, MD
• Allison Jordan Hudgens, MD
• Richard Page Hudson III, M.D.
• James J Hudziak, M.D.
• Eric Hughes
• Hilary Cohlan Hughes, LICSW

• Clinical Social Worker in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.