Individual provider Active NPI

Yoshika Hubbard

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1982356408
Registry record updated Sep 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008744 Issued in GA
Practice address
226 E Hancock St
Decatur, GA 30030-3757
Phone
(706) 372-8158
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MSW009248 GA
Clinical Social Worker 1041C0700X CSW008744 GA Primary

Addresses

Primary practice location

226 E Hancock St
Decatur, GA 30030-3757

Mailing address

226 E Hancock St
Decatur, GA 30030-3757
Phone (706) 372-8158

Other practice location 1

2285 Peachtree Rd NE Ste 210
Atlanta, GA 30309-1121
Phone (470) 460-5954

Other names 1

  • Yosheika Hubbard Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW008744GAMDClinical Social Worker
MSW009248GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Embodiment Therapy, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

2801 Buford Hwy NE
Ste 540
Brookhaven, GA 30329
Phone (404) 294-8688

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.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1982356408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E HANCOCK ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303757",
            "telephone_number": "706-372-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E HANCOCK ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303757",
            "telephone_number": "706-372-8158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2285 Peachtree Rd NE Ste 210",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091121",
            "country_code": "US",
            "telephone_number": "470-460-5954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "YOSHIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW009248",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOSHEIKA",
            "last_name": "HUBBARD",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.