Wendi Beth Rabucha, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4814 Issued in FL

Practice address

12165 NW 47TH MNR
Coral Springs, FL 33076-2236

Phone

(954) 805-5851

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Principles Recovery Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Davie, FL
  • NPI 1639566409
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1700972254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12165 NW 47TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762236",
            "telephone_number": "954-805-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 NW 47TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762236",
            "telephone_number": "954-805-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABUCHA",
        "first_name": "WENDI",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070882800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R L Westberry PHD PA
• R Medical Center Corp.
• Karissa Raaf
• Shara Aileen Rabone
• Samantha Rabucha
• Diana Rada
• Radha Vallabhaneni MD LLC
• Arman Rahemi, PHARMD
• Nafees Rahman, OT
• Celina Rajkumar

• Clinical Social Worker in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.