Provider Demographics
NPI:1417011818
Name:RUBINSTEIN, CHRISTINE L R (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:L R
Last Name:RUBINSTEIN
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 1:24 EDGEHILL RD
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2713
Mailing Address - Country:US
Mailing Address - Phone:401-272-7148
Mailing Address - Fax:
Practice Address - Street 1:25 OLD COUNTY RD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-1601
Practice Address - Country:US
Practice Address - Phone:401-246-0442
Practice Address - Fax:401-246-1211
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW004781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical