Organization Active NPI

Laura Rabinovitz, Licsw, PLC

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1801449822
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAURA RABINOVITZ, LICSW, PLC
Practice address
28 Howard St
Ste 205
Burlington, VT 05401-0404
Phone
(802) 238-5071
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Laura Rabinovitz, LICSWNPI 1841204708
Title
Clinical Social Worker
Phone
(802) 238-5071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

28 Howard St
Ste 205
Burlington, VT 05401-0404

Mailing address

95 Lyman Ave
Burlington, VT 05401-5051

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HIE Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190819000989 VT Part B Supplier - Clinic/Group Practice 5597093336 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, VT

National Provider Directory

National Provider Directory

Locations

28 Howard St
Ste 205
Burlington, VT 05401
Phone (802) 238-5071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1801449822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LYMAN AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HOWARD ST",
            "address_2": "STE 205",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054010404",
            "telephone_number": "802-238-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA RABINOVITZ, LICSW, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "RABINOVITZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "802-238-5071",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "28 HOWARD ST",
            "address_2": "STE 205",
            "city": "BURLINGTON",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054010404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.