Provider Demographics
NPI:1033541446
Name:RUBEL, ERICK DAN (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:ERICK
Middle Name:DAN
Last Name:RUBEL
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 SCHRAALENBURGH RD
Mailing Address - Street 2:
Mailing Address - City:HAWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07641-1227
Mailing Address - Country:US
Mailing Address - Phone:201-387-0444
Mailing Address - Fax:201-387-0444
Practice Address - Street 1:278 SCHRAALENBURGH RD
Practice Address - Street 2:
Practice Address - City:HAWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07641-1227
Practice Address - Country:US
Practice Address - Phone:201-387-0444
Practice Address - Fax:201-387-0444
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003854001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical