Individual provider Active NPI

Jodi Ann Rubinstein, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1255583092
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004897 Issued in WA
Practice address
5100 S Dawson St Ste 103
Seattle, WA 98118-2100
Phone
(360) 492-4805
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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 44SC06179400 NJ
Clinical Social Worker 1041C0700X LW00004897 WA Primary

Addresses

Primary practice location

5100 S Dawson St Ste 103
Seattle, WA 98118-2100

Mailing address

1106 29TH Ave
Seattle, WA 98122-5010
Phone (360) 492-4805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20091014000585 WA Practitioner - Clinical Social Worker 8224174727 Reassigns benefits to 2 organizations
Practice locations: Seattle, WA

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)

5100 S Dawson St
Suite 103
Seattle, WA 98118-2100
Phone (360) 492-4805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06179400NJMDClinical Social Worker
LW00004897WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 30, 2009 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Harborlight Psychotherapy PLLC Clinical CurrentSince May 28, 2024 Accepting new patients
Pacmed Clinics Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 30, 2009 Accepting new patients
Pacmed Clinics CurrentSince Jun 26, 2015 Accepting new patients

Locations

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

5100 S Dawson St
Ste 103
Seattle, WA 98118
Phone (206) 371-8034

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 6

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1255583092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 29TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225010",
            "telephone_number": "360-492-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S DAWSON ST STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182100",
            "telephone_number": "360-492-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "JODI",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06179400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.