Provider Demographics
NPI:1043377542
Name:HUBERMAN, LAURA JANIS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:JANIS
Last Name:HUBERMAN
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 1:2051 ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-2151
Mailing Address - Country:US
Mailing Address - Phone:609-926-1500
Mailing Address - Fax:609-926-5037
Practice Address - Street 1:2051 ARBOR DR
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-2151
Practice Address - Country:US
Practice Address - Phone:609-926-1500
Practice Address - Fax:609-926-5037
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NJ44SC002870001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical