Provider Demographics
NPI:1821307471
Name:DUBROFF, J. KATE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:J.
Middle Name:KATE
Last Name:DUBROFF
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 1:2575 GLASGOW AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4747
Mailing Address - Country:US
Mailing Address - Phone:302-832-5400
Mailing Address - Fax:302-832-5407
Practice Address - Street 1:2575 GLASGOW AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4747
Practice Address - Country:US
Practice Address - Phone:302-832-5400
Practice Address - Fax:302-832-5407
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00005351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical