Provider Demographics
NPI:1164800389
Name:RUBINS, JAMES DAVID (LCSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:RUBINS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5527 SUNHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:95901-8381
Mailing Address - Country:US
Mailing Address - Phone:707-287-0839
Mailing Address - Fax:530-763-4402
Practice Address - Street 1:5527 SUNHAVEN ST
Practice Address - Street 2:
Practice Address - City:LINDA
Practice Address - State:CA
Practice Address - Zip Code:95901-8381
Practice Address - Country:US
Practice Address - Phone:707-287-0839
Practice Address - Fax:530-763-4402
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-07
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 92291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical