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NPI Code Detail

MEDICARE: KATHLEEN KUBERA LCSW

MEDICARE: KATHLEEN KUBERA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker078017NY
21041C0700XClinical Social WorkerR078017-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538478961
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN KUBERA LCSW
Provider Business Mailing Address
First Line : 188 LONG AVE
Second Line :
City : HAMBURG
State : NY
Zip : 14075-6211
Country : US
Telephone Number : 716-884-0700
Fax Number :
Provider Business Practice Location Address
First Line : 162 MAIN ST
Second Line :
City : HAMBURG
State : NY
Zip : 14075-4917
Country : US
Telephone Number : 716-325-0006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2010
Last Update Date : 08/26/2020

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Directions to “ KATHLEEN KUBERA LCSW” Practice Location

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