Provider Demographics
NPI:1275146235
Name:HARUBIN, CHELSEA BARBARA (LICSW)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:BARBARA
Last Name:HARUBIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 D ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-3527
Mailing Address - Country:US
Mailing Address - Phone:781-264-6202
Mailing Address - Fax:
Practice Address - Street 1:7 D ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-3527
Practice Address - Country:US
Practice Address - Phone:781-264-6202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MA1277761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical