| Doctor Name: | MR. JEFFREY SCOTT RUBIN |
| NPI Number: | 1235228057 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSWC |
| License Number: | 07099 |
| Business Practice Address: | 5420 Klee Mill Rd S Suite 6 Sykesville, MD - 217849230 |
| Business Phone Number: | 4105526633 |
| Business Fax Number: | |
| Mailing Address: | 5420 Klee Mill Rd S, Suite 6 SYKESVILLE |
| State: | MD |
| Postal Code: | 217849230 |
| Phone Number: | 4105526633 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 12/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 07099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |