Individual provider · Type 1 NPI

Mark James Chubb, LCSW

Clinical Social Worker · San Jose, CA

NPI number 1134586860 Active

Practice location

130 N. Jackson Ave
San Jose, CA 95116

Fax (408) 984-3455

Mailing address

4771 Hatfield Walkway, Unit 4
San Jose, CA 95124

Other practice locations

  • 9015 Murray Ave, Suite 100, Gilroy, CA 95020-3617 · (408) 846-4719

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XLCSW108048 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1134586860

Mark James Chubb, LCSW's National Provider Identifier is 1134586860, issued on Jan 26, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on Aug 7, 2025.