National Provider Identifier
Tina Hubbard, LCSW-R
Tina Hubbard, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 412-9187.
Profile Overview
- NPI
- 1306099213
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 23, 2008
- Last Updated
- November 17, 2017
Practice Location
- 275 Parrish St
- Ste A
- Canandaigua, NY 14424-1785
Phone: (585) 412-9187
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1306099213
- Entity Type
- Individual
- Last Name
- Hubbard
- First Name
- Tina
- Credential
- LCSW-R
- Provider Other Last Name
- Matevish
- Provider Other First Name
- Tina
- Provider Other Credential Text
- LCSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 275 Parrish St
- Mailing Address Line 2
- Ste A
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1785
- Mailing Country
- US
- Mailing Phone
- (585) 412-9187
- Mailing Fax
- (585) 310-8514
- Practice Street Address
- 275 Parrish St
- Practice Address Line 2
- Ste A
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1785
- Practice Country
- US
- Practice Phone
- (585) 412-9187
- Practice Fax
- (585) 310-8514
- Enumeration Date
- October 23, 2008
- Last Updated
- November 17, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)