Provider Demographics
NPI:1942792643
Name:RUBIN, HEATHER RACHEL (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:RACHEL
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 BUTLER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-2658
Mailing Address - Country:US
Mailing Address - Phone:888-873-7723
Mailing Address - Fax:412-408-3720
Practice Address - Street 1:5301 BUTLER ST STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2658
Practice Address - Country:US
Practice Address - Phone:814-490-5782
Practice Address - Fax:412-408-3720
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0206971041C0700X
PASW132549101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health