Provider Demographics
NPI:1760903702
Name:CUBITT, TRICIA LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:LEE
Last Name:CUBITT
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 1:4756 SPRINGVIEW DR APT 310
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-1082
Mailing Address - Country:US
Mailing Address - Phone:814-460-4106
Mailing Address - Fax:
Practice Address - Street 1:4756 SPRINGVIEW DRIVE
Practice Address - Street 2:APARTMENT 310
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509
Practice Address - Country:US
Practice Address - Phone:814-460-4106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0187891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical