Cheryl Martha Rubin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6225 Issued in ME

Practice address

75 State St
Ellsworth, ME 04605-1923

Phone

(297) 667-2998

Fax

(207) 667-6998

NPI assigned

Jun 24, 2005

Last updated

Nov 19, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Behavioral Healthcare, LLC

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1215102850
  NPD (past)
• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  NPD (past)
• Belonging Medical Group PLLC

  dba Better Life Partners

  • General Practice Physician
  • Hanover, NH
  • NPI 1912482787
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1780680553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 STATE ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051923",
            "telephone_number": "207-667-2998",
            "fax_number": "207-667-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STATE ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051923",
            "telephone_number": "297-667-2998",
            "fax_number": "207-667-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "CHERYL",
        "middle_name": "MARTHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEATH",
            "identifier": "40557",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Alan Ross, DMD
• Gary Roy Germann, CRNA
• Megan Elizabeth Roy
• Barbara Royal, LADC
• John E Royal, D.D.S.
• Isaac J Rudloe, M.D.
• Tiffany F Rudloe, MD
• Katelyn Patricia Ryan
• Marly Sachsman, ND
• Erin Marie Salter

• Clinical Social Worker in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.