Individual provider Active NPI

Bettina Rubin, L.C.S.W.

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1952311987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
QI-0000819 Issued in DE
Practice address
99 Passmore Dr
Wilmington, DE 19803-1548
Phone
(302) 478-9411
Fax
(302) 479-9883
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 QI-0000819 DE Primary

Addresses

Primary practice location

99 Passmore Dr
Wilmington, DE 19803-1548

Mailing address

99 Passmore Dr
Wilmington, DE 19803-1548
Phone (302) 478-9411

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20121113000095 PA Practitioner - Clinical Social Worker 3678583655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1489 Baltimore Pike
Springfield, PA 19064-3958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QI-0000819DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Psychology LLC Clinical CurrentSince Jun 26, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Sep 19, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Sep 19, 2024 Accepting new patients
Springfield Psychological PC CurrentSince Sep 25, 2012 Accepting new patients
Jewish Family Services of Delaware Clinical PastSince Aug 1, 2016 Accepting new patients

Locations

1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000

491 Allendale Rd
Ste 322
Kng of Prussa, PA 19406
Phone (215) 805-4092

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952311987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PASSMORE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031548",
            "telephone_number": "302-478-9411",
            "fax_number": "302-479-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PASSMORE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031548",
            "telephone_number": "302-478-9411",
            "fax_number": "302-479-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "BETTINA",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "QI-0000819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.