Provider Demographics
NPI:1376317081
Name:LUBEN, RANDEE (LCSW)
Entity Type:Individual
Prefix:
First Name:RANDEE
Middle Name:
Last Name:LUBEN
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 1:9194 N CEREMONY PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-7518
Mailing Address - Country:US
Mailing Address - Phone:480-861-9236
Mailing Address - Fax:
Practice Address - Street 1:9194 N CEREMONY PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7518
Practice Address - Country:US
Practice Address - Phone:480-861-9236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-215571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical