Individual provider Active NPI

Beth Rabinove, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1376672261
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R021528 Issued in NY
Practice address
25 E 10TH St
Suite 10F
New York, NY 10003-6107
Phone
(212) 362-0582
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 R021528 NY Primary

Addresses

Primary practice location

25 E 10TH St
Suite 10F
New York, NY 10003-6107

Mailing address

25 E 10TH St
Suite 10F
New York, NY 10003-6107
Phone (212) 362-0582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R021528NYMDClinical Social Worker
021528NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1376672261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E 10TH ST",
            "address_2": "SUITE 10F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036107",
            "telephone_number": "212-362-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E 10TH ST",
            "address_2": "SUITE 10F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036107",
            "telephone_number": "212-362-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOVE",
        "first_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R021528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.