Individual provider Active NPI

Rachel Rubenstein, LCSW, CSAT-S

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1386712255
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016093 Issued in IL
Practice address
980 N Michigan Ave Ste 1400
Chicago, IL 60611-7500
Phone
(917) 607-1315
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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 149016093 IL Primary

Addresses

Primary practice location

980 N Michigan Ave Ste 1400
Chicago, IL 60611-7500

Mailing address

980 N Michigan Ave Ste 1437
Chicago, IL 60611-4501
Phone (917) 607-1315

Other practice location 1

8800 Bronx Ave Ste 100D
Skokie, IL 60077-1804
Phone (917) 607-1315

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
149016093ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SFC Searching for Change Clinical CurrentSince Dec 15, 2019 Accepting new patients

Locations

1945 W Wilson Ave
Ste 5115
Chicago, IL 60640
Phone (312) 379-9350

980 N Michigan Ave
Ste 1437
Chicago, IL 60611
Phone (773) 430-9396

8800 Bronx Ave
Ste 100D
Skokie, IL 60077
Phone (917) 607-1315

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1386712255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE STE 1437",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114501",
            "telephone_number": "917-607-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117500",
            "telephone_number": "917-607-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Bronx Ave Ste 100D",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771804",
            "country_code": "US",
            "telephone_number": "917-607-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "LCSW, CSAT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.