Individual provider Active NPI

Sherry Gottesmann Rubin, LCSW, BCD

  • Clinical Social Worker
  • Exton, PA
National Provider Identifier
1245418805
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW004170L Issued in PA
Practice address
50 W Welsh Pool Rd
Suite #4
Exton, PA 19341-1200
Phone
(610) 873-0815
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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 CW004170L PA Primary

Addresses

Primary practice location

50 W Welsh Pool Rd
Suite #4
Exton, PA 19341-1200

Mailing address

50 W Welsh Pool Rd
Suite #4
Exton, PA 19341-1200
Phone (610) 873-0815

Other names 1

  • Ms. Sherry Gottesmann Rubin Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW004170LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1245418805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W WELSH POOL RD",
            "address_2": "SUITE #4",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411200",
            "telephone_number": "610-873-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W WELSH POOL RD",
            "address_2": "SUITE #4",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411200",
            "telephone_number": "610-873-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESMANN RUBIN",
        "first_name": "SHERRY",
        "name_prefix": "Ms.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW004170L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "GOTTESMANN RUBIN",
            "prefix": "MS.",
            "credential": "LCSW, BCD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.