Provider Demographics
NPI:1316837123
Name:PERHAY KUBA, SUMMER (MSW, PHD)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:PERHAY KUBA
Suffix:
Gender:F
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:
Other - Last Name:KUBA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, PHD
Mailing Address - Street 1:2549 SW ABELARD ST
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-7334
Mailing Address - Country:US
Mailing Address - Phone:772-528-0816
Mailing Address - Fax:
Practice Address - Street 1:20 NE DIXIE HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-1840
Practice Address - Country:US
Practice Address - Phone:772-528-0816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCISW169951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLISW16995OtherFLORIDA SOCIAL WORK LICENSE