MEDICARE: METTE B RUBIN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW108017	CA

General Provider Information

NPI Number	:	1245041334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	METTE B RUBIN LCSW

Provider Business Mailing Address
First Line	:	3249 SYLVANER CIR
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-4313
Country	:	US
Telephone Number	:	831-295-2027
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 BAY AVE STE 206
Second Line	:
City	:	CAPITOLA
State	:	CA
Zip	:	95010-2102
Country	:	US
Telephone Number	:	831-420-6682
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2025
Last Update Date	:	04/20/2026

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