Cynthia Rublaitus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.011456 Issued in IL

Practice address

One Memorial Drive
Senior Renewal Program-Olin Wing
Alton, IL 62002-6722

Phone

(618) 463-7518

Fax

(618) 463-7896

NPI assigned

Aug 28, 2007

Last updated

Sep 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1699969139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BOARDWALK SPRINGS PL",
            "address_2": "SUITE 111",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684778",
            "telephone_number": "636-695-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEMORIAL DRIVE",
            "address_2": "SENIOR RENEWAL PROGRAM-OLIN WING",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026722",
            "telephone_number": "618-463-7518",
            "fax_number": "618-463-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBLAITUS",
        "first_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph J. Rohrbacker, M.ED, LCPC, LPC
• Craig Rosenberg, M.D., FACP, FACEP
• Rosewood Care Center, Inc of Alton
• Debra Lynn Ross, L.P.N.
• Michelle Rounds
• Aline Gaston Russell, D.MIN., LCPC, LMFT
• Victoria Elizabeth Russell, M.S.
• Alexandria Ruzicka, PA-C
• Elaine Ann Rynders, PA-C
• Virginia Sabatini

• Clinical Social Worker in Alton, IL
• Providers in Alton, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.