Provider Demographics
NPI:1558302216
Name:RUBEN, BETH K (MSW)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:K
Last Name:RUBEN
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 1:4554 VIA CLARICE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1348
Mailing Address - Country:US
Mailing Address - Phone:805-892-4142
Mailing Address - Fax:
Practice Address - Street 1:524 CHAPALA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3412
Practice Address - Country:US
Practice Address - Phone:805-957-1116
Practice Address - Fax:805-957-9230
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA222411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW22241AOtherPPIN
CAP43752Medicare UPIN