Individual provider Active NPI

David D Rabb, MA, LICSW, ACSW

  • Clinical Social Worker
  • Palo Alto, CA
National Provider Identifier
1356533095
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2461 Issued in MN
Practice address
3801 Miranda
Palo Alto VA Medical Center Room B-226-a
Palo Alto, CA 94403
Phone
(650) 493-5000
Fax
(650) 849-1993
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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 2461 MN Primary

Addresses

Primary practice location

3801 Miranda
Palo Alto VA Medical Center Room B-226-a
Palo Alto, CA 94403

Mailing address

3801 Miranda
Palo Alto VA Medical Center Room B-226-a
Palo Alto, CA 94403
Phone (650) 493-5000

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2461MNMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1356533095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA",
            "address_2": "PALO ALTO VA MEDICAL CENTER ROOM B-226-A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94403",
            "telephone_number": "650-493-5000",
            "fax_number": "650-849-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA",
            "address_2": "PALO ALTO VA MEDICAL CENTER ROOM B-226-A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94403",
            "telephone_number": "650-493-5000",
            "fax_number": "650-849-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABB",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "MA, LICSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "2461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.