Provider Demographics
NPI:1609375260
Name:RUBEL, LINDSAY MONTARE (LCSW; LISW-CP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MONTARE
Last Name:RUBEL
Suffix:
Gender:F
Credentials:LCSW; LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 W HIBISCUS BLVD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3019
Mailing Address - Country:US
Mailing Address - Phone:321-272-1956
Mailing Address - Fax:
Practice Address - Street 1:211 W HIBISCUS BLVD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3019
Practice Address - Country:US
Practice Address - Phone:321-272-1956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055976001041C0700X
SC109911041C0700X
FL153131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical