Doctor Name: | JOANNE FRANCES CARRUBBA |
NPI Number: | 1003004250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 50961 |
Business Practice Address: | 1433 Fairfield Dr Austin, TX - 787587244 |
Business Phone Number: | 5124918444 |
Business Fax Number: | 5124910226 |
Mailing Address: | 11000 Anderson Mill Rd Unit 84, AUSTIN |
State: | TX |
Postal Code: | 787502410 |
Phone Number: | 5124875248 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 10/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 50961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |