Active NPI
Lindsay Montare Rubel, LCSW; LISW-CP
- Clinical Social Worker
- Melbourne, FL
National Provider Identifier
1609375260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15313
- Practice address
- 211 W Hibiscus Blvd
Melbourne, FL 32901-3019 - Phone
- (321) 272-1956
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05597600 | NJ | |
| Clinical Social Worker | 1041C0700X | 10991 | SC | |
| Clinical Social Worker | 1041C0700X | 15313 | FL | Primary |
Addresses
Primary practice location
211 W Hibiscus Blvd
Melbourne, FL 32901-3019
Mailing address
211 W Hibiscus Blvd
Melbourne, FL 32901-3019
Phone (321) 272-1956
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15313 | FL | MD | Clinical Social Worker |
| 44SC05597600 | NJ | MD | Clinical Social Worker |
| 10991 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Counseling Center, LLC | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Melbourne, FL
- NPI 1639448483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1609375260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W HIBISCUS BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013019",
"telephone_number": "321-272-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W HIBISCUS BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013019",
"telephone_number": "321-272-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBEL",
"first_name": "LINDSAY",
"middle_name": "MONTARE",
"credential": "LCSW; LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05597600",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "10991",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "15313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.