Provider Demographics
NPI:1497702005
Name:JUBIS, OSCAR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:
Last Name:JUBIS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 SAN ANTONIO AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1320
Mailing Address - Country:US
Mailing Address - Phone:305-669-1875
Mailing Address - Fax:305-225-4493
Practice Address - Street 1:619 SAN ANTONIO AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1320
Practice Address - Country:US
Practice Address - Phone:305-669-1875
Practice Address - Fax:305-225-4493
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW37201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical