MR. MICHAEL KUBECK (NPI# 1578523858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578523858 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL KUBECK |
| Credential | LCSW |
| Practice Address |
1031 Farmington Ave Farmington CT 06032 |
| Practice Telephone | 8606772550 |
| Practice Fax Number | 8606774975 |
| Mailing Telephone | 8606772550 |
| Mailing Fax Number | 8606774975 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
000942 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS | 140000942CT01 | 01 |
| OXFORD | P547360 | 01 |
| Street Address |
1031 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447219100 | Natalie Lurie | Psychologist | 1031 Farmington Ave, Farmington, CT 06032 | 2006-03-21 |
| 1821447053 | Janina Kean | Nurse Practitioner | 1031 Farmington Ave, Farmington, CT 06032-1576 | 2016-06-08 |
| 1912356205 | Cadtc Partners LLC | Counselor | 1031 Farmington Ave, Farmington, CT 06032-1576 | 2016-06-07 |
| 1902068620 | Complete Chiropractic Care, LLC | Chiropractor | 1031 Farmington Ave, Farmington, CT 06032-1511 | 2008-06-25 |
| 1699979716 | Christina Lori Kosswig | Chiropractor | 1031 Farmington Ave, Farmington, CT 06032-1511 | 2007-06-13 |
| 1932322120 | Jay Andrew Lasser | Psychiatry & Neurology | 1031 Farmington Ave, Farmington, CT 06032-1511 | 2007-04-10 |
| 1821020645 | Cadtc Partners LLP | Psychiatry & Neurology | 1031 Farmington Ave, Farmington, CT 06032 | 2006-07-06 |
| 1528028818 | Susanne Shrader | Psychiatry & Neurology | 1031 Farmington Ave, Farmington, CT 06032 | 2006-03-23 |
| 1639139918 | Carol Ruth Freedman | Social Worker | 1031 Farmington Ave, Farmington, CT 06032-1511 | 2006-03-23 |
| 1548220825 | Richard James Lauerman | Counselor | 1031 Farmington Ave, Farmington, CT 06032 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| 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 |
|---|---|---|---|---|
| 1366041360 | Christine Mullin | Social Worker | 883 Plainville Ave, Farmington, CT 06032-3121 | 2020-10-21 |
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1457979296 | Sarah Howroyd LLC | Social Worker | Sarah Howroyd Lcsw, Suite 313, Farmington, CT 06032-2985 | 2020-07-08 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1558919878 | Pamela L Begay Psychotherapy, LLC | Social Worker | 5101 College Blvd, Farmington, NM 87402-4709 | 2019-08-29 |
| 1750933826 | Anne Christina Di Iorio-fitzpatrick | Social Worker | 33110 Grand River Ave, Farmington, MI 48336-3120 | 2019-07-09 |
| 1780240259 | Karen S. Ferrell, LLC | Social Worker | 114 E Columbia St # B11, Farmington, MO 63640-3103 | 2019-05-10 |
| 1326517061 | Karen Sue Ferrell | Social Worker | 114 E Columbia St Ste B11, Farmington, MO 63640-3103 | 2018-11-23 |
| 1295235596 | Amber Perez | Social Worker | 20 Batterson Park Rd Ste 300, Farmington, CT 06032-4500 | 2018-02-14 |
| 1982128138 | Renee Lachance George | Social Worker | Uconn Health Center Iop 263 Farmington, Farmington, CT 06030-0001 | 2017-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
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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.