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Deactivated NPI 1003989229 Deactivated / Inactive NPI Male Practitioner

Michael Clark Roubicek , LCSW

Social Worker • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Roubicek has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2006
NPI Deactivation Date February 28, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Michael Roubicek, LCSW was a registered Social Worker practicing in Fresno, CA. Throughout an active medical career spanning 18 years, Michael Roubicek provided care at the practice location at 1879 E FIR AVE until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

1879 E Fir Ave
Ste 103

Fresno, CA 937203841

Telephone 5593238484
Fax 5593238686
Associated Practice Facility / Clinic
🏢 Roubicek & Shaw Facility NPI 1518179191

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
253 Specialists

Practicing in Fresno, CA (10507 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CA LCSW15811

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Channing Hitchcock

Marriage & Family Therapist

NPI 1154565166
Reynaldo Manalo , MS

Marriage & Family Therapist

NPI 1215822192

Master of Science

Matthew Bethell , BA

Marriage & Family Therapist

NPI 1386145472

Bachelor of Arts

Marianna Aguilar , LMFT

Marriage & Family Therapist

NPI 1396341517

Licensed Marriage and Family Therapist

Allison Weir , LMFT

Marriage & Family Therapist

NPI 1396422481

Licensed Marriage and Family Therapist

Shahna Duerksen , MA, LMFT

Marriage & Family Therapist

NPI 1437651684

Master of Arts, Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1879 E FIR AVE, STE 103, FRESNO, CA 937203841 (Tel: 5593238484)

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Updated Business Mailing Address July 08, 2007

Registered at 1879 E FIR AVE, STE 103, FRESNO, CA 937203841 (Tel: 5593238484)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL ROUBICEK, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #LCSW15811 in CA)

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Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003989229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: July 08, 2007
Deactivation Date: February 28, 2024

Mailing Address

1879 E Fir Ave, Ste 103

Fresno, CA 937203841

Phone: 5593238484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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