Provider Demographics
NPI:1568756492
Name:RUEB, NADINE KENIGSTEIN (LCSW)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:KENIGSTEIN
Last Name:RUEB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11940 JOLLYVILLE RD
Mailing Address - Street 2:SUITE 110 SOUTH
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-2327
Mailing Address - Country:US
Mailing Address - Phone:512-250-1043
Mailing Address - Fax:
Practice Address - Street 1:11940 JOLLYVILLE RD
Practice Address - Street 2:SUITE 110 SOUTH
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-2327
Practice Address - Country:US
Practice Address - Phone:512-250-1043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
TX516281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator