Carol Rubano, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R041939-1 Issued in NY

Practice address

175 Wolf Hill Rd
Melville, NY 11747-1340

Phone

(631) 754-3990

NPI assigned

Sep 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Living Waters LCSW PCGroup PAC ID 7719032606, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Living Waters LCSW PC

  • Clinical Social Worker
  • Greenlawn, NY
  • NPI 1780856062
  Medicare reassignment Care Compare group NPD Authorized official
• The Living Waters Center Inc.

  • Community/Behavioral Health Agency
  • Melville, NY
  • NPI 1073716916
  NPD (past) Authorized official

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1942300538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WOLF HILL RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471340",
            "telephone_number": "631-754-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WOLF HILL RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471340",
            "telephone_number": "631-754-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBANO",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041939-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Rovinsky, RN
• Kristin Elizabeth Rowe
• Sierra Rowe
• Royce Orthotics Inc.
• Carol Theresa Ruane
• Emily Lynne Rubenstein
• Faith A Rubio
• Lynn Ruder, LCSW
• Brianna Ruffino
• Jonathan George Ruffus, PSY.D.

• Clinical Social Worker in Melville, NY
• Providers in Melville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.