Andrea Laura Rubido

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

123369-3501 Issued in UT

Practice address

352 S Denver St Ste 350
Salt Lake City, UT 84111-3059

Phone

(801) 521-4227

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Charles L Diviney III MC LPC NCC LLC

  • Professional Counselor
  • SLC, UT
  • NPI 1235447772

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1144847674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S DENVER ST STE 350",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113059",
            "telephone_number": "801-521-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S DENVER ST STE 350",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113059",
            "telephone_number": "801-521-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIDO",
        "first_name": "ANDREA",
        "middle_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "123369-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Elizabeth Ruark, C.N.A
• Matthew Palmer Rubach, M.D.
• Tricia Jennifer Rubalcaba
• Jake Sid Ruben
• April Rubens, REGISTERED DIETITIAN
• Michael Adam Rubin, MD
• James Ruble, PHARMD
• Ruth Ann Ruble, RPH
• Zachary A. Rubnitz, MD
• Crystal Anne Ruby, APRN

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.