Individual provider Active NPI

Elaine M Rubenstein, PHD LCSWC

  • Social Worker
  • Arnold, MD
National Provider Identifier
1578669396
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
01340 Issued in MD
Practice address
1331 Kinloch Circle
Arnold, MD 21012
Phone
(410) 647-8210
Fax
(410) 647-8267
NPI assigned
Sep 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 01340 MD Primary

Addresses

Primary practice location

1331 Kinloch Circle
Arnold, MD 21012

Mailing address

1331 Kinloch Circle
Arnold, MD 21012
Phone (410) 647-8210

Other names 1

  • Mrs. Elaine R Leaverton Professional name

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01340MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David R Leaverton MD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578669396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 KINLOCH CIRCLE",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "21012",
            "telephone_number": "410-647-8210",
            "fax_number": "410-647-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 KINLOCH CIRCLE",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "21012",
            "telephone_number": "410-647-8210",
            "fax_number": "410-647-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "ELAINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PHD LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "01340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "LEAVERTON",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "PHD LCSWC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.