Individual provider Active NPI

Rebecca Ruben, MSW, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1336692763
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
98965 Issued in CA
Practice address
1741 Silver Lake Blvd Ste 2B
Los Angeles, CA 90026-1256
Phone
(781) 910-9456
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 71477 CA
Clinical Social Worker 1041C0700X 98965 CA Primary

Addresses

Primary practice location

1741 Silver Lake Blvd Ste 2B
Los Angeles, CA 90026-1256

Mailing address

1741 Silver Lake Blvd Ste 2B
Los Angeles, CA 90026-1256
Phone (781) 910-9456

Other practice location 1

450 S Marengo Ave
Pasadena, CA 91101-3113
Phone (781) 910-9456

Other practice location 2

1540 E Colorado St
Glendale, CA 91205-1514
Phone (818) 244-7257

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.rebeccaruben.com
CONNECT URL www.rebeccaruben.com

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
98965CAMDClinical Social Worker
71477CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1336692763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 SILVER LAKE BLVD STE 2B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261256",
            "telephone_number": "781-910-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 SILVER LAKE BLVD STE 2B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261256",
            "telephone_number": "781-910-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 S Marengo Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911013113",
            "country_code": "US",
            "telephone_number": "781-910-9456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 E Colorado St",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912051514",
            "country_code": "US",
            "telephone_number": "818-244-7257",
            "fax_number": "818-243-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBEN",
        "first_name": "REBECCA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "71477",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "98965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rebeccaruben.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "450 S Marengo Ave",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911013113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rebeccaruben.com",
            "affiliation": "N",
            "address_1": "1741 Silver Lake Blvd Ste 2B",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900261256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.