Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Lynne Rose Kubas, LCSW

Individual provider Clinical Social Worker · NPI 1629571542

Jessica Lynne Rose Kubas, LCSW is a Clinical Social Worker in Nevada City, California. Qualified in 2009, 17 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

103 Providence Mine Rd Ste 104A
Nevada City, CA 95959-2949
Phone: (530) 402-5613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 206 Prodience Mine Rd, Nevada City, CA 95959 — (530) 402-5613

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 80502 (CA)

Record details

NPI number1629571542
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 16, 2018
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

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 Yes — accepts the Medicare-approved amount

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