Individual provider Active NPI

Diana Rubin, MSW, LCSW

  • Clinical Social Worker
  • Middletown, NY
National Provider Identifier
1144304494
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077826-1 Issued in NY
Practice address
6 Country Side CT
Middletown, NY 10941-3161
Phone
(845) 476-8411
Fax
(845) 853-1553
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-10904 AZ
Clinical Social Worker 1041C0700X 077826-1 NY Primary

Addresses

Primary practice location

6 Country Side CT
Middletown, NY 10941-3161

Mailing address

PO Box 24
Circleville, NY 10919-0024
Phone (845) 476-8411

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000123 NY Practitioner - Clinical Social Worker 9436140662 Practice locations: Middletown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Country Side CT
Middletown, NY 10941-3161
Phone (845) 476-2023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-10904AZMDClinical Social Worker
077826-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center, PLLC PastSince Feb 23, 2025 Accepting new patients
Wellife Counseling Center LLC PastSince Apr 8, 2004 Accepting new patients
Family Guidance Center of Milford PastSince May 12, 2011 Accepting new patients

Organizations & group practices 3

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1144304494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "CIRCLEVILLE",
            "state": "NY",
            "postal_code": "109190024",
            "telephone_number": "845-476-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COUNTRY SIDE CT",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109413161",
            "telephone_number": "845-476-8411",
            "fax_number": "845-853-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10904",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077826-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.