Doctor Name: | MR. ERICK DAN RUBEL |
NPI Number: | 1033541446 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | 44SC00385400 |
Business Practice Address: | 278 Schraalenburgh Rd Haworth, NJ - 076411227 |
Business Phone Number: | 2013870444 |
Business Fax Number: | 2013870444 |
Mailing Address: | 278 Schraalenburgh Rd, HAWORTH |
State: | NJ |
Postal Code: | 076411227 |
Phone Number: | 2013870444 |
Fax Number: | 2013870444 |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00385400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |