Vicki Rubin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW1610 Issued in FL

Practice address

3200 Port Royale Dr N Apt 712
Fort Lauderdale, FL 33308-7804

Phone

(954) 432-7703

Fax

(954) 206-6968

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• VR Counseling Inc.

  • Clinical Social Worker
  • Fort Lauderdale, FL
  • NPI 1134338783
  NPD Authorized official
• Moxie Wellness Center LLC

  • Primary Care Clinic/Center
  • Davie, FL
  • NPI 1629943311
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1023122355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PORT ROYALE DR N APT 712",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087804",
            "telephone_number": "954-432-7703",
            "fax_number": "954-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PORT ROYALE DR N APT 712",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087804",
            "telephone_number": "954-432-7703",
            "fax_number": "954-206-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "VICKI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "0001610",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Adam Rubin, MD
• Keith Harrison Rubin, M.D.
• Lawrence C. Rubin, PH.D.
• Lisa B Rubin, SLP-A
• Mark A Rubin, M.D.
• Carol B Rubinson, MD
• Howard Rubinson, MD
• Mark H Rubinstein, MD
• Heysu Rubio-Gomez, MD
• Hector Rubio

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.