Provider Demographics
NPI:1467430694
Name:WEINBERGER, BETTE RUBIN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:BETTE
Middle Name:RUBIN
Last Name:WEINBERGER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 DIVISION STREET
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110
Mailing Address - Country:US
Mailing Address - Phone:717-233-7153
Mailing Address - Fax:717-221-9087
Practice Address - Street 1:240 DIVISION ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110
Practice Address - Country:US
Practice Address - Phone:717-233-7153
Practice Address - Fax:717-221-9087
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW001959L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
011352OtherVALUE OPTION
01944501OtherCBC
01944501OtherCBC
WE586742Medicare ID - Type Unspecified