KATHERYN GOODMAN HUBBARD (NPI# 1457862963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457862963 |
| Entity Type | Individual |
| Full Name | KATHERYN GOODMAN HUBBARD |
| Credential | LCSW |
| Practice Address |
117 E Kings Hwy Eden NC 27288-5201 |
| Practice Telephone | 3366239711 |
| Practice Fax Number | 3366356864 |
| Mailing Telephone | 3366239711 |
| Mailing Fax Number | 3366356864 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C008784 | NC | Behavioral Health & Social Service Providers |
| Street Address |
117 E KINGS HWY |
| City | EDEN |
| State | NC |
| Zip Code | 27288-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326048810 | Unc Rockingham Health Care, Inc. | General Acute Care Hospital | 117 E Kings Hwy, Eden, NC 27288-5201 | 2005-07-26 |
| 1629549852 | Jesse Robert Gustafson | Physician Assistant | 117 E Kings Hwy, Eden, NC 27288-5201 | 2018-12-16 |
| 1528545399 | Unc Rockingham Health Care, Inc. | Anesthesiology | 117 E Kings Hwy, Eden, NC 27288-5201 | 2018-07-25 |
| 1366929135 | Unc Rockingham Health Care, Inc. | Nurse Anesthetist, Certified Registered | 117 E Kings Hwy, Eden, NC 27288-5201 | 2018-07-25 |
| 1275010043 | Unc Rockingham Health Care, Inc. | Surgery | 117 E Kings Hwy, Eden, NC 27288-5201 | 2018-07-25 |
| 1710477849 | Mary Robertson Lafar | Physical Therapy Assistant | 117 E Kings Hwy, Eden, NC 27288-5201 | 2018-05-15 |
| 1174036495 | Melonie Deon Davis | Counselor | 117 E Kings Hwy, Eden, NC 27288-5201 | 2017-11-08 |
| 1407203888 | Jonathan Kenton Tackett | Emergency Medicine | 117 E Kings Hwy, Eden, NC 27288-5201 | 2016-05-16 |
| 1164886834 | Trey Washington | Occupational Therapist | 117 E Kings Hwy, Eden, NC 27288-5201 | 2016-04-08 |
| 1356706519 | Michael V Stehlik | Pharmacist | 117 E Kings Hwy, Eden, NC 27288-5201 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912418765 | Saved Foundation | Social Worker | 432 N Bridge St, Eden, NC 27288-5648 | 2017-10-19 |
| 1265883540 | Tonya Rochelle Boyett | Social Worker | 551 Eaker Street, Frontera Healthcare Network, Eden, TX 76837 | 2016-06-28 |
| 1235541913 | Trudy Rodkin Tobias | Social Worker | 117 E Kings Hwy, Eden, NC 27288-5201 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
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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.