Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cindy Ann Bubla, LCSW-R

Individual provider Social Worker · NPI 1013250430

Cindy Ann Bubla, LCSW-R is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2009, 17 years ago. Works from 4 locations. Licensed in North Carolina and New York.

Years since qualifying
17
Licensed in
NC, NY
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

4600 Capital Blvd
Raleigh, NC 27604-4478
Phone: (919) 980-7008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4600 Capital Blvd, Raleigh, NC 27604-4478 — (919) 980-7008
  • 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 — (631) 219-8469
  • 11 Route 111, Smithtown, NY 11787-3739 — (631) 920-8300

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C012839 (NC)
Social Worker Taxonomy 104100000X · Licence 085768 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 083764 (NY)

Record details

NPI number1013250430
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedApril 3, 2013
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing addressPo Box 746724, Atlanta, GA 30374-6724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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