GABRIELLE N KUBULAN-SIMMONS LCSW
NPI 1780164061
Social Worker - Clinical in Covina, CA

Q: What is Gabrielle Kubulan-simmons's NPI number?

The NPI number for Gabrielle Kubulan-simmons is 1780164061. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Q: What is Gabrielle Kubulan-simmons's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since August 16, 2018PECOS Enrolled

4740 N GRAND AVE, COVINA, CA 91724(626) 859-2089(626) 859-6537 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Aug 16, 2018 (2 updates tracked since 2018).

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About Gabrielle N Kubulan-simmons Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GABRIELLE N KUBULAN-SIMMONS LCSW (NPI 1780164061) is an individual clinical provider in Covina, California, licensed in California (114653) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780164061

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameGABRIELLE N KUBULAN-SIMMONSCredential: LCSW

Location Address4740 N GRAND AVECovina, CA 91724-2005

Mailing Address160 E 3rd St Apt CPomona, CA 91766-1803 · (909) 230-3902

Phone(626) 859-2089

Fax(626) 859-6537

Sole ProprietorNo

Enumeration DateAugust 16, 2018

Last NPPES UpdateJune 23, 20232 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1780164061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 114653

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ACSW83821 (CA)

4740 N GRAND AVE, Covina, CA 91724

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabrielle N Kubulan-simmons Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91724 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY ELLEN TANNER LCSW

Social Worker (Clinical)