Provider Demographics
NPI:1003004250
Name:CARRUBBA, JOANNE FRANCES (LCSW)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:FRANCES
Last Name:CARRUBBA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 ANDERSON MILL RD UNIT 84
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2410
Mailing Address - Country:US
Mailing Address - Phone:512-487-5248
Mailing Address - Fax:
Practice Address - Street 1:1433 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7244
Practice Address - Country:US
Practice Address - Phone:512-491-8444
Practice Address - Fax:512-491-0226
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX509611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical