Provider Demographics
NPI:1558007419
Name:RUBENSTEIN, REBECCA T (LICSW, LCSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:T
Last Name:RUBENSTEIN
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-2213
Mailing Address - Country:US
Mailing Address - Phone:860-853-0276
Mailing Address - Fax:
Practice Address - Street 1:187 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-2213
Practice Address - Country:US
Practice Address - Phone:860-853-0276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT121211041C0700X
MA1251701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical