MEDICARE: ALICIA HUBBARD MSW PLLC

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1124970520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALICIA HUBBARD MSW PLLC

Provider Business Mailing Address
First Line	:	333 W 7TH ST STE 170
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-2510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 W 7TH ST STE 170
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-2510
Country	:	US
Telephone Number	:	313-306-7938
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALICIA HUBBARD
Credential	:	LMSW
Telephone Number	:	616-401-1342

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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