Organization Active NPI

Jill M Rubin LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1538642111
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JILL M RUBIN LCSW
Practice address
915 Middle River Dr Ste 417
Fort Lauderdale, FL 33304-3561
Phone
(954) 263-2929
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jill RubinNPI 1114209624
Title
Therapist
Phone
(954) 263-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

915 Middle River Dr Ste 417
Fort Lauderdale, FL 33304-3561

Mailing address

915 Middle River Dr Ste 417
Fort Lauderdale, FL 33304-3561
Phone (954) 263-2929

Other identifiers 1

IdentifierTypeStateIssuer
GO183AOtherFLPTAN

National Provider Directory

National Provider Directory

Locations

915 Middle River Dr
Ste 417
Fort Lauderdale, FL 33304
Phone (954) 263-2929

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1538642111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR STE 417",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043561",
            "telephone_number": "954-263-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR STE 417",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043561",
            "telephone_number": "954-263-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL M RUBIN LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "954-263-2929"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GO183A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.