Active NPI
Bettina Rubin, L.C.S.W.
- Clinical Social Worker
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- QI-0000819
- 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
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| QI-0000819 | DE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewell Psychology LLC | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of Connecticut, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Springfield Psychological PC | Current | Accepting new patients | |
| Jewish Family Services of Delaware | Clinical | Past | 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.
-
dba Springfield Behavioral of Pennsylvania
- Counseling Psychologist
- Philadelphia, PA
- NPI 1811778988
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
-
dba Associates of Springfield Psychological
- Mental Health Counselor
- Springfield, PA
- NPI 1295705317
-
- Clinical Social Worker
- Wilmington, DE
- NPI 1457362303
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.