Active NPI
Sara Kroll Rubloff, MS
- Clinical Social Worker
- Ellicott City, MD
National Provider Identifier
1518971985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09067
- Practice address
- 5054 Dorsey Hall Dr
Ellicott City, MD 21042-7744 - Phone
- (410) 730-0122
- Fax
- (301) 854-0898
- NPI assigned
- Jul 28, 2006
- 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 | 09067 | MD | Primary |
Addresses
Primary practice location
5054 Dorsey Hall Dr
Ellicott City, MD 21042-7744
Mailing address
13720 Springdale Dr
Clarksville, MD 21029-1353
Phone (410) 730-0122
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518971985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13720 SPRINGDALE DR",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291353",
"telephone_number": "410-730-0122",
"fax_number": "301-854-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5054 DORSEY HALL DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427744",
"telephone_number": "410-730-0122",
"fax_number": "301-854-0898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBLOFF",
"first_name": "SARA",
"middle_name": "KROLL",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "09067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
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.