Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirsten Loren Bubak, LCSW

Individual provider Clinical Social Worker · NPI 1053174508

Kirsten Loren Bubak, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2021, 5 years ago. Practices with Wakemed, a 68-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2024
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

3000 New Bern Ave
Raleigh, NC 27610-1295
Phone: (919) 350-7722
Fax: (919) 350-2995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C016763 (NC)

Record details

NPI number1053174508
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 6, 2024
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wakemed — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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