Individual provider Active NPI

Deborah Rubin, LCSW, BCD, PHD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1144331026
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR052127-1 Issued in NY
Practice address
211 W 56TH St Apt 30H
New York, NY 10019-4324
Phone
(212) 757-4202
Fax
(212) 757-2902
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR052127-1 NY Primary

Addresses

Primary practice location

211 W 56TH St Apt 30H
New York, NY 10019-4324

Mailing address

211 W 56TH St Apt 30H
New York, NY 10019-4324
Phone (212) 757-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 4, 2012 through Oct 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PR052127-1NYMDClinical Social Worker
052127NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144331026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 56TH ST APT 30H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194324",
            "telephone_number": "212-757-4202",
            "fax_number": "212-757-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 56TH ST APT 30H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194324",
            "telephone_number": "212-757-4202",
            "fax_number": "212-757-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "LCSW, BCD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR052127-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.