Michelle Rubin, csw
Social Worker, Clinical in Staten Island, NY. Individual provider (NPI-1).
NPI number1043220171
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043220171
- Entity type
- Individual (NPI-1)
- Name
- Miss Michelle Rubin
- Credential
- csw
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0537031 | NY | Yes |
Practice location
172 Ravenhurst AveStaten Island, NY 10310-2664
Phone 718-983-8872 · Fax 718-983-0348
Mailing address
10 Kathy PlApt 2d
Staten Island, NY 10314-5925
Phone 718-983-8872 · Fax 718-983-0348
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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