Active NPI
Heather Marie Rubino, LCSW
- Clinical Social Worker
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014748
- Practice address
- 120 Coastal Horizons Dr
Shallotte, NC 28470-6094 - Phone
- (910) 754-4515
- Fax
- (910) 202-9966
- NPI assigned
- Jul 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P013830 | NC | |
| Clinical Social Worker | 1041C0700X | C014748 | NC | Primary |
Addresses
Primary practice location
120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Other practice location 1
8128 River Rd SE
Southport, NC 28461-8972
Phone (910) 377-1794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10239 Beach Dr SW
Suite 21
Calabash, NC 28467-2703
Phone (910) 377-1794
120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Phone (910) 343-0145
PO Box
Suite 6741
Ocean Isle Beach, NC 28469-0741
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P013830 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desired Changes, PLLC | Clinical | Current | Accepting new patients |
| Coastal Horizons Center Inc | Current | Accepting new patients | |
| Coastal Horizons Center, Inc. | Current | Accepting new patients | |
| Coastal Horizons Center, Inc. | Current | Accepting new patients | |
| Coastal Horizons Center Inc | Current | Accepting new patients |
Locations
10239 Beach Dr SW
Ste 21
Calabash, NC 28467
Phone (910) 377-1794
120 Coastal Horizons Dr
Shallotte, NC 28470
Phone (910) 754-4515
8128 River Rd SE
Southport, NC 28461
Phone (910) 367-5036
615 Shipyard Blvd
Wilmington, NC 28412
Phone (910) 202-5709
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1922022607
-
- Clinical Social Worker
- Calabash, NC
- NPI 1306625884
-
- Community/Behavioral Health Agency
- Rocky Point, NC
- NPI 1063082592
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1598048175
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1790985448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1114589504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 COASTAL HORIZONS DR",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284706094",
"telephone_number": "910-754-4515",
"fax_number": "910-202-9966"
}
],
"practiceLocations": [
{
"address_1": "8128 River Rd SE",
"address_purpose": "LOCATION",
"city": "Southport",
"state": "NC",
"postal_code": "284618972",
"country_code": "US",
"telephone_number": "910-377-1794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBINO",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013830",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.