Debra Ruben, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29085 Issued in CA

Practice address

1408 Chapin Ave Ste 3
Burlingame, CA 94010-4080

Phone

(415) 322-9180

NPI assigned

Jun 22, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1033639729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CORTEZ AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 CHAPIN AVE STE 3",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104080",
            "telephone_number": "415-322-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEN",
        "first_name": "DEBRA",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Ernest Rosenberg, M.D.
• Nancy Sue Rosenbledt, PSY.D.
• Lorne K Rosenfield, MD
• John E Rosenman, M.D.
• Daniel Rosenmiller, DPT
• Hayden Rubin
• Amanda Claire Rubizhevsky
• Pamela Kay Rudd, PH.D.
• Stephen Marc Ruenroeng, PHARMD
• Maya Rufino, LCSW

• Clinical Social Worker in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.