Provider Demographics
NPI:1295829596
Name:RUBENSTEIN, LAURA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:RUBENSTEIN
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 1:151 N KENILWORTH AVE
Mailing Address - Street 2:APT. 1-B
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1271
Mailing Address - Country:US
Mailing Address - Phone:773-732-2081
Mailing Address - Fax:
Practice Address - Street 1:151 N KENILWORTH AVE
Practice Address - Street 2:APT. 1-B
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1271
Practice Address - Country:US
Practice Address - Phone:773-732-2081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149010400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker