Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Marie Rubino, LCSW

Individual provider Clinical Social Worker · NPI 1114589504

Heather Marie Rubino, LCSW is a Clinical Social Worker in Shallotte, North Carolina. Qualified in 2019, 7 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Phone: (910) 754-4515
Fax: (910) 202-9966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8128 River Rd Se, Southport, NC 28461-8972 — (910) 377-1794

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C014748 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P013830 (NC)

Record details

NPI number1114589504
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 5, 2019
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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