Provider Demographics
NPI:1225181233
Name:RUBIANO, CONSTANCE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:
Last Name:RUBIANO
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 1:1102 SANCHEZ ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3825
Mailing Address - Country:US
Mailing Address - Phone:415-641-7456
Mailing Address - Fax:415-374-7910
Practice Address - Street 1:1102 SANCHEZ ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3825
Practice Address - Country:US
Practice Address - Phone:415-641-7456
Practice Address - Fax:415-374-7910
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS8454171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator