Provider Demographics
NPI:1568455186
Name:SCHUBECK, CAROL MARGARET (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:MARGARET
Last Name:SCHUBECK
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 1:12625 N GENTLE RAIN DR
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85658-4394
Mailing Address - Country:US
Mailing Address - Phone:520-222-2012
Mailing Address - Fax:
Practice Address - Street 1:12625 N GENTLE RAIN DR
Practice Address - Street 2:
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85658-4394
Practice Address - Country:US
Practice Address - Phone:520-222-2012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15933101YA0400X, 101YM0800X
CALCS#15933104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health