Individual provider Active NPI

Nancy N Rubillo

  • Clinical Social Worker
  • Pawley's Island, SC
National Provider Identifier
1487687554
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252 Issued in SC
Practice address
14323 Ocean Highway
Suite 4111
Pawleys Island, SC 29585-4817
Phone
(843) 235-9960
NPI assigned
Jul 9, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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 252 SC Primary

Addresses

Primary practice location

14323 Ocean Highway
Suite 4111
Pawleys Island, SC 29585-4817

Mailing address

10 Bush St
Georgetown, SC 29440-6542
Phone (843) 546-6816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1487687554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BUSH ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406542",
            "telephone_number": "843-546-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14323 OCEAN HIGHWAY",
            "address_2": "SUITE 4111",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295854817",
            "telephone_number": "843-235-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBILLO",
        "first_name": "NANCY",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

Verify at the official NPI Registry.