Active NPI
Jill T. Rubin, MSW
- Clinical Social Worker
- Santa Barbara, CA
National Provider Identifier
1144379595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW64565
- Practice address
- 215 E Anapamu St
Santa Barbara, CA 93101-2005 - Phone
- (413) 695-6818
- NPI assigned
- Jan 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111937 | MA | |
| Clinical Social Worker | 1041C0700X | LCSW64565 | CA | Primary |
Addresses
Primary practice location
215 E Anapamu St
Santa Barbara, CA 93101-2005
Mailing address
314 E. Carrillo Street Suite 9
Santa Barbara, CA 93101
Phone (413) 695-6818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P08697 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW64565 | CA | MD | Clinical Social Worker |
| 111937 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1144379595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 E. CARRILLO STREET SUITE 9",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93101",
"telephone_number": "413-695-6818",
"fax_number": "844-820-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E ANAPAMU ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012005",
"telephone_number": "413-695-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "JILL",
"middle_name": "T.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111937",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW64565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P08697",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.