| Kirsten Loren Bubak, LCSW | |
|
3000 New Bern Ave, Raleigh, NC 27610-1295 | |
| (919) 350-7722 | |
| (919) 350-2995 |
| Full Name | Kirsten Loren Bubak |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3000 New Bern Ave, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053174508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C016763 (North Carolina) | Primary |
| Entity Name | Wakemed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194907717 PECOS PAC ID: 7315937612 Enrollment ID: O20040722000418 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Loren Bubak, LCSW 130 Towne View Trl, Garner, NC 27529-4599 Ph: () - | Kirsten Loren Bubak, LCSW 3000 New Bern Ave, Raleigh, NC 27610-1295 Ph: (919) 350-7722 |
Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509 | |
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509 | |
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975 | |
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386 | |
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710 | |
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580 | |
Miss Madeline Hooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6112 Saint Giles St, Raleigh, NC 27612 Phone: 919-893-4465 |