Provider Demographics
NPI:1376787622
Name:RUBENS, HEATHER M (MSW, MPH, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:M
Last Name:RUBENS
Suffix:
Gender:F
Credentials:MSW, MPH, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 VEREDA CORTA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-9556
Mailing Address - Country:US
Mailing Address - Phone:213-284-9005
Mailing Address - Fax:
Practice Address - Street 1:45 VEREDA CORTA
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-9556
Practice Address - Country:US
Practice Address - Phone:213-284-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-091061041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health