ANGELA BUB LCSW LICSW CCTP NPI 1013308329

NPI Information

  • NPI: 1013308329
  • Provider Name: ANGELA BUB, LCSW LICSW CCTP
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 4720 BURNING TREE RD
    DULUTH, MN
    ZIP 55811
  • Phone: (218) 623-1812

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NPI Details

Angela Bub, LCSW LICSW CCTP is a clinical social worker in Duluth, MN. The provider is 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. Angela Bub, LCSW LICSW CCTP NPI is 1013308329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4720 BURNING TREE RD
DULUTH, MN
ZIP 55811-634
Phone: (218) 623-1812

The enumeration date for this NPI number is 2/9/2015 and was last updated on 8/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker70479CALIFORNIANo
21041C0700XSocial WorkerClinical9995123WISCONSINNo
31041C0700XSocial WorkerClinical29234MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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