Provider Demographics
NPI:1598042418
Name:RUBIN, REBECCA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:RUBIN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 N WASHINGTON ST
Mailing Address - Street 2:SUITE 520
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4229
Mailing Address - Country:US
Mailing Address - Phone:301-523-5362
Mailing Address - Fax:301-760-7234
Practice Address - Street 1:8630 FENTON ST
Practice Address - Street 2:SUITE 612
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3806
Practice Address - Country:US
Practice Address - Phone:301-523-5362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-06
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD093751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical