Active NPI
Lola Rubens
- Clinical Social Worker
- Canton, MI
National Provider Identifier
1376668830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L861226
- Practice address
- 2200 N Canton Center Rd
Suite 200B
Canton, MI 48187-5065 - Phone
- (734) 981-3800
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L861226 | MI | Primary |
Addresses
Primary practice location
2200 N Canton Center Rd
Suite 200B
Canton, MI 48187-5065
Mailing address
1404 Folkstone CT
Ann Arbor, MI 48105-2848
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
| License | State | Type | Specialty |
|---|---|---|---|
| L861226 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Mercy Hospital | Past | Accepting new patients | |
| St Joseph Mercy Hospital | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiac Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1902359094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376668830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 FOLKSTONE CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N CANTON CENTER RD",
"address_2": "SUITE 200B",
"city": "CANTON",
"state": "MI",
"postal_code": "481875065",
"telephone_number": "734-981-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBENS",
"first_name": "LOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "L861226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.