Active NPI
Sharon R Rubin, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1134817018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 030554
- Practice address
- 93 4TH Ave Unit 491
New York, NY 10003-5213 - Phone
- (917) 859-4044
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 030554 | NY | Primary |
Addresses
Primary practice location
93 4TH Ave Unit 491
New York, NY 10003-5213
Mailing address
93 4TH Ave Unit 491
New York, NY 10003-5213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240726001741 | NY | Practitioner - Clinical Social Worker | 5597201418 | Practice locations: Bronx, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Bronx, NY 10463
Phone (917) 859-4044
3515 Henry Hudson Pkwy Apt
6A
Bronx, NY 10463-1331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030554 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1134817018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 4TH AVE UNIT 491",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100035213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 4TH AVE UNIT 491",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100035213",
"telephone_number": "917-859-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "SHARON",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "030554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.