Provider Demographics
NPI:1477902096
Name:HUBBARD, APRIL (LCSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 EDWARDS ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-5852
Mailing Address - Country:US
Mailing Address - Phone:541-646-7385
Mailing Address - Fax:541-732-4833
Practice Address - Street 1:521 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-5852
Practice Address - Country:US
Practice Address - Phone:541-646-7385
Practice Address - Fax:541-732-4833
Is Sole Proprietor?:No
Enumeration Date:2016-06-04
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL103171041C0700X
ORA40881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical