Individual provider Active NPI

J. Kate Dubroff, L.C.S.W.

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1821307471
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000535 Issued in DE
Practice address
2575 Glasgow Ave
Newark, DE 19702-4747
Phone
(302) 832-5400
Fax
(302) 832-5407
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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 Q1-0000535 DE Primary

Addresses

Primary practice location

2575 Glasgow Ave
Newark, DE 19702-4747

Mailing address

2575 Glasgow Ave
Newark, DE 19702-4747
Phone (302) 832-5400

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
Q1-0000535DEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1821307471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 GLASGOW AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024747",
            "telephone_number": "302-832-5400",
            "fax_number": "302-832-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 GLASGOW AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024747",
            "telephone_number": "302-832-5400",
            "fax_number": "302-832-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBROFF",
        "first_name": "J.",
        "middle_name": "KATE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.