Jessica Anndelle Hubbard, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Carthage, NC

NPI 1972072965 · NPPES record last updated Nov 19, 2018

Key facts

NPI
1972072965
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C010877 (NC)
Practice address
408 S McNeill St
Carthage, NC 28327-8987
Phone
(919) 770-0486
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C010877NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C010877 NC Yes

Addresses

Primary practice location

408 S McNeill St
Carthage, NC 28327-8987

Mailing address

101 Poplar Springs Church Rd
Sanford, NC 27330-9012
Phone (919) 770-0486

Other providers in Carthage, NC

All providers in Carthage, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.