Individual provider Active NPI

Kathleen Rubright, LCSW

  • Clinical Social Worker
  • Denver, PA
National Provider Identifier
1972910925
Registry record updated Feb 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021634 Issued in PA
Practice address
20 Main St
Denver, PA 17517-1610
Phone
(570) 426-5204
NPI assigned
Jul 22, 2014
Last updated
Feb 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWK127555 PA
Clinical Social Worker 1041C0700X CW021634 PA Primary

Addresses

Primary practice location

20 Main St
Denver, PA 17517-1610

Mailing address

2455 Jefferson Ave
Reading, PA 19609-2363
Phone (570) 426-5204

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
I20210330000233 PA Practitioner - Clinical Social Worker 8426465907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mindful Oasis CoGroup PAC ID 2163805474, 3 clinicians
Furnace Creek Counseling LLCGroup PAC ID 5092067157, 10 clinicians

Practice addresses (Care Compare)

Shade Gap, PA 17255
Phone (717) 489-2949

140 W Penn Ave
Suite 2
Robesonia, PA 19551-1504
Phone (610) 750-9135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWK127555PAMDSocial Worker
CW021634PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Counseling Services LLC Social Worker CurrentSince Mar 1, 2021 Accepting new patients
The Mindful Oasis Co. Clinical CurrentSince Aug 1, 2023 Accepting new patients

Locations

143 Main St
Denver, PA 17517
Phone (717) 341-2753

20 Main St
Denver, PA 17517
Phone 7178751655 ext. 51655

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1972910925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 JEFFERSON AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196092363",
            "telephone_number": "570-426-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "DENVER",
            "state": "PA",
            "postal_code": "175171610",
            "telephone_number": "570-426-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBRIGHT",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SWK127555",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, PA

Sources for this page

Verify at the official NPI Registry.