Jo-Ellen Hubelbank, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004193 Issued in CT

Legal business name

JO-ELLEN HUBELBANK, LCSW, LLC

Practice address

114 S Main St
Suite 28
Cheshire, CT 06410-3111

Phone

(203) 288-0242

NPI assigned

Apr 30, 2015

Reactivated

Aug 23, 2023

Organization subpart

No

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

Authorized official

Name

Jo-Ellen Hubelbank, LCSW

Title

Psychotherapist

Phone

(203) 288-0242

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1972980753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MAIN ST",
            "address_2": "SUITE 28",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103111",
            "telephone_number": "203-288-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MAIN ST",
            "address_2": "SUITE 28",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103111",
            "telephone_number": "203-288-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO-ELLEN HUBELBANK, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2023-08-23",
        "certification_date": "2023-07-19",
        "deactivation_date": "2023-07-19",
        "reactivation_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "HUBELBANK",
        "authorized_official_first_name": "JO-ELLEN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "203-288-0242",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008058177",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Jaramillo, PSYD
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• Jennifer Murray, Psy.D., LLC
• Cynthia Hanington Jennings, PT
• Johnson-Allen Psychiatry LLC
• Lauren K Johnson, LPC
• Nicole Johnson, SLP
• Taylar Johnson, OT
• Corey L. Jokl, PA-C

• Clinical Social Worker in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.