Individual provider Active NPI

Nicole Loebach, LCSW, MPH

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1710135892
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28054 Issued in CA
Practice address
230 N Mar Vista Ave
Pasadena, CA 91106-1411
Phone
(510) 255-0965
Fax
(888) 425-0567
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28054 CA Primary

Addresses

Primary practice location

230 N Mar Vista Ave
Pasadena, CA 91106-1411

Mailing address

230 N Mar Vista Ave
Pasadena, CA 91106-1411
Phone (510) 255-0965

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

LicenseStateTypeSpecialty
28054CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eva K. Rubin, Licensed Clinical Social Worker, Inc. Clinical CurrentSince Apr 13, 2025 Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Community Research Foundation Inc Clinical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1710135892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MAR VISTA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061411",
            "telephone_number": "510-255-0965",
            "fax_number": "888-425-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MAR VISTA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061411",
            "telephone_number": "510-255-0965",
            "fax_number": "888-425-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEBACH",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.