Active NPI
Thor R Rubin, LISW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1063669547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I43638
- Practice address
- 1515 E Broad St
Columbus, OH 43205-1550 - Phone
- (614) 251-6565
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I43638 | Primary |
Addresses
Primary practice location
1515 E Broad St
Columbus, OH 43205-1550
Mailing address
1515 E Broad St
Columbus, OH 43205-1550
Phone (614) 251-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
700 Brooksedge Blvd
Westerville, OH 43081-2820
Phone (614) 882-9338
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Counseling Services | Clinical | Current | Accepting new patients |
Locations
700 Brooksedge Blvd
Westerville, OH 43081
Phone (614) 882-9338
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1063669547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051550",
"telephone_number": "614-251-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051550",
"telephone_number": "614-251-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "THOR",
"middle_name": "R",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "I43638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.