Active NPI
Michelle Rabin, LCSW
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1407284359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21295
- Practice address
- 2501 W Shaw Ave
Suite 113
Fresno, CA 93711-3307 - Phone
- (559) 313-2075
- Fax
- (559) 228-8329
- NPI assigned
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS21295 | CA | Primary |
Addresses
Primary practice location
2501 W Shaw Ave
Suite 113
Fresno, CA 93711-3307
Mailing address
PO Box 26422
Fresno, CA 93729-6422
Phone (559) 313-2075
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 |
|---|---|---|---|
| LCS21295 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1407284359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26422",
"city": "FRESNO",
"state": "CA",
"postal_code": "937296422",
"telephone_number": "559-313-2075",
"fax_number": "559-228-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W SHAW AVE",
"address_2": "SUITE 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113307",
"telephone_number": "559-313-2075",
"fax_number": "559-228-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABIN",
"first_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.