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NPI Code Detail

MEDICARE: SHEILA M CUBINE LCSW

MEDICARE:   SHEILA M CUBINE  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 Worker67280TX

General Provider Information

NPI Number : 1548037146
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA M CUBINE LCSW
Provider Business Mailing Address
First Line : 124 CLEMENTS RANCH RD
Second Line :
City : KILGORE
State : TX
Zip : 75662-0713
Country : US
Telephone Number : 903-808-2799
Fax Number :
Provider Business Practice Location Address
First Line : 3800 PALUXY DR STE 425
Second Line :
City : TYLER
State : TX
Zip : 75703-1653
Country : US
Telephone Number : 903-808-2799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2023
Last Update Date : 06/03/2026

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Directions to “ SHEILA M CUBINE LCSW” Practice Location

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