Provider Demographics
NPI:1861634784
Name:RUBEN, DANIELLE ANNE (LISW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ANNE
Last Name:RUBEN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2374
Mailing Address - Country:US
Mailing Address - Phone:614-231-1890
Mailing Address - Fax:614-231-4978
Practice Address - Street 1:1070 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2374
Practice Address - Country:US
Practice Address - Phone:614-231-1890
Practice Address - Fax:614-231-4978
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical