MRS. CAROLYN LACEY HUBBARD (NPI# 1205014735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205014735 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN LACEY HUBBARD |
| Practice Address |
3727 Marconi Ave Sacramento CA 95821-5303 |
| Mailing Address |
902 Tuolumne St Vallejo CA 94590-4641 |
| Practice Telephone | 9164856500 |
| Practice Fax Number | 9164856814 |
| Mailing Telephone | 7076488121 |
| Mailing Fax Number | 7076488129 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811379985 | Carolyn Hubbard | Technician, Other | 1360 Concord Dr, Ypsilanti, MI 48198-8482 | 2015-06-24 |
| 1477154326 | Carolyn Hubbard | Technician | 652 Main St, Barboursville, WV 25504-1439 | 2020-11-06 |
| 1699213363 | Carolyn Monique Hubbard | Nurse Practitioner | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2017-02-02 |
| 1033369475 | Carolyn Renee Hubbard II | Social Worker | 190 Beech St, Suite 102, Gate City, VA 24251-3623 | 2008-09-23 |
| 1720091754 | Carolyn Hubbard | Counselor | 8350 Meadow Rd, Suite 272, Dallas, TX 75231-3768 | 2006-08-14 |
| Street Address |
3727 MARCONI AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063450500 | Lynne Ann Love | Psychiatry & Neurology | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2006-06-04 |
| 1457951451 | Debbie L Burd | Licensed Vocational Nurse | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2020-10-28 |
| 1447871926 | Umar Khan | Counselor | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2020-05-06 |
| 1720614100 | Shaina Valerio | Case Manager/Care Coordinator | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2020-03-18 |
| 1568094126 | Mayra Rubio | Case Manager/Care Coordinator | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2020-02-11 |
| 1619509445 | April Andrea Rodriguez | Counselor | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2020-02-10 |
| 1801428016 | Angela S Valencia | Case Manager/Care Coordinator | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2020-02-05 |
| 1427689348 | Mitzi Aranda-cortez | Case Manager/Care Coordinator | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2020-01-29 |
| 1396396016 | Tamer Said Mostafa | Counselor | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2019-09-24 |
| 1720636756 | Megan Lee Wenell | Registered Nurse | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2019-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1891392676 | Natalie V Galaviz | Case Manager/Care Coordinator | 3815 Marconi Ave # 52, Sacramento, CA 95821-3867 | 2020-10-05 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1093332579 | David Lynch | Case Manager/Care Coordinator | 700 H St Ste 270, Sacramento, CA 95814-1289 | 2020-06-30 |
| 1770126906 | Chrysanthia D Leggett | Case Manager/Care Coordinator | 7415 Henrietta Dr Unit A, Sacramento, CA 95822-5142 | 2019-10-21 |
| 1558904870 | Larry Carter | Case Manager/Care Coordinator | 3700 Watt Ave Apt 13, Sacramento, CA 95821-2661 | 2019-10-18 |
| 1255982443 | Valerie Bishop | Case Manager/Care Coordinator | 5691 Boyton Way, Sacramento, CA 95823-3811 | 2019-09-27 |
| 1720637689 | Ayana Nuno | Case Manager/Care Coordinator | 1616 El Monte Ave, Sacramento, CA 95815-2903 | 2019-09-04 |
| 1154980597 | Nosazena Leo Uyigue | Case Manager/Care Coordinator | Sacramento County Mental Health Treatment Center, 2150 Stockton Boulevard, Sacramento, CA 95817-1337 | 2019-06-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.