Active NPI
Jill M Rubin LCSW
- Clinical Social Worker
- Fort Lauderdale, FL
National Provider Identifier
1538642111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Rubin
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GO183A | Other | FL | PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Fort Lauderdale, FL
- NPI 1114209624
-
- Psychologist
- Fort Lauderdale, FL
- NPI 1497742605
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.