Cristina Carol Brubaker, LISW-S

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I0002533SUPV Issued in OH

Practice address

6465 Reflections Dr
Suite 110
Dublin, OH 43017-2377

Phone

(614) 792-1108

Fax

(614) 792-0018

NPI assigned

Nov 15, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Cristina Brubaker Slack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1003246703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 REFLECTIONS DR",
            "address_2": "SUITE 110",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172377",
            "telephone_number": "614-792-1108",
            "fax_number": "614-792-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 REFLECTIONS DR",
            "address_2": "SUITE 110",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172377",
            "telephone_number": "614-792-1108",
            "fax_number": "614-792-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "CRISTINA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0002533SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "SLACK",
            "middle_name": "BRUBAKER",
            "prefix": "MS.",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stevanie Brown, LISW
• Sydney Brown
• Taylor Brown
• James D Browning Jr.
• Britteny A Broxterman
• Bruce L. Auerbach MD LLC
• Peggy Bruce
• Dana M Bruggeman, AUD
• Kimberlie Bruggeman
• Melissa B. Brundage, LISW-S

• Social Worker in Dublin, OH
• Providers in Dublin, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.