Active NPI
Anna Rubin, LCSW
- Clinical Social Worker
- San Fernando, CA
National Provider Identifier
1841780152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 77516
- Practice address
- 11565 Laurel Canyon Blvd Ste 218
San Fernando, CA 91340 - Phone
- (818) 256-2358
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 77516 | CA | Primary |
Addresses
Primary practice location
11565 Laurel Canyon Blvd Ste 218
San Fernando, CA 91340
Mailing address
23055 Sherman Way Unit 4953
West Hills, CA 91308-7056
Phone (818) 851-0427
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
| License | State | Type | Specialty |
|---|---|---|---|
| 77516 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1841780152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23055 SHERMAN WAY UNIT 4953",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913087056",
"telephone_number": "818-851-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11565 LAUREL CANYON BLVD STE 218",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "91340",
"telephone_number": "818-256-2358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "ANNA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "77516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.