SCOTT W. CUBBERLY (NPI# 1942410816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942410816 |
| Entity Type | Individual |
| Full Name | SCOTT W. CUBBERLY |
| Credential | LCSW |
| Practice Address |
3627 Ensign Rd Ne Suite A Olympia WA 98506-5024 |
| Mailing Address |
4039 Rainwood Dr Nw Olympia WA 98502-3816 |
| Practice Telephone | 3607916486 |
| Mailing Telephone | 3607916486 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW00007406 | WA | Behavioral Health & Social Service Providers |
| Street Address |
3627 ENSIGN RD NE SUITE A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331880 | Katy Murray | Counselor | 3627 Ensign Rd Ne, Suite B, Olympia, WA 98506-5024 | 2005-07-26 |
| 1427256833 | Keith Robert Meyer | Counselor | 3627 Ensign Rd Ne, Suite A, Olympia, WA 98506-5024 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
|---|---|---|---|---|
| 1235753328 | Emma Pereira | Social Worker | 1022 Brawne Ave Nw, Olympia, WA 98502-4803 | 2020-06-03 |
| 1255952628 | Kerri Ann Duke | Social Worker | 6706 Prairie Ridge Dr Ne, Olympia, WA 98516-6248 | 2020-04-27 |
| 1790164291 | Karen M. Buckley LLC | Social Worker | 2608 Pacific Ave Se Ste C, Olympia, WA 98501-2085 | 2015-05-29 |
| 1598161853 | Maria Oprea | Social Worker | 905 24th Way Sw Ste B3, Sea Mar Mss, Olympia, WA 98502-6033 | 2014-11-14 |
| 1619309440 | Elizabeth Bartleson | Social Worker | 2740 Fishtrap Rd Ne, Olympia, WA 98506-9611 | 2013-08-03 |
| 1992047500 | Jerry Joseph Conway | Social Worker | 6111 Elizan Dr Nw, Olympia, WA 98502-9617 | 2013-03-21 |
| 1952642084 | Virginia Cailleteau | Social Worker | 108 22nd Ave Sw Ste 8, Olympia, WA 98501-2871 | 2013-03-14 |
| 1427376474 | Mary Gibson Fischer | Social Worker | 7742 Jenni St Ne, Olympia, WA 98506-9761 | 2010-05-13 |
| 1750615803 | Kathleen M King | Social Worker | 222 Columbia St Nw, Olympia, WA 98501-8208 | 2009-09-22 |
| 1174756787 | Dani Marie Myers | Social Worker | 400 Union Ave Se, Suite 200, Olympia, WA 98501-2059 | 2009-08-30 |
| Find all providers in OLYMPIA | ||||
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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.