Jane L. Rubin, PSYD; LCSW 3358

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 3358 Issued in CA

Practice address

48 Ozone Ave
Venice, CA 90291-2410

Phone

(310) 208-3313

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jane Rubin Gerstein Other name

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 Nov 14, 2013 through Nov 14, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1285702191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 OZONE AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912410",
            "telephone_number": "310-208-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 OZONE AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912410",
            "telephone_number": "310-208-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JANE",
        "middle_name": "L.",
        "credential": "PSYD; LCSW 3358",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "RUBIN GERSTEIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Sandra Lee Roy, N.D.
• Olga Ruano
• Brittany Leigh Rudinica, M.S.W.
• Andres J Ruiz
• Rutambhar Patel D.C. a Chiropractic Corporation (Axiom Health)
• John Ryan
• Sufia Safi

• Clinical Social Worker in Venice, CA
• Providers in Venice, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.