Provider Demographics
NPI:1295771913
Name:RUBIN, ARLENE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:
Last Name:RUBIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:
Other - Last Name:FALB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6260 99TH ST
Mailing Address - Street 2:APT 324
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1842
Mailing Address - Country:US
Mailing Address - Phone:718-897-6145
Mailing Address - Fax:718-897-6145
Practice Address - Street 1:118 JERUSALEM AVE
Practice Address - Street 2:ROOM 1 SECOND FLOOR
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4906
Practice Address - Country:US
Practice Address - Phone:516-931-0777
Practice Address - Fax:718-897-6145
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0316451104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01475525Medicaid
6269285OtherUNITEDHEALTHCARE
7400376OtherVALUEOPTIONS
7400376OtherGHI FLEX SELECT PPO NETWO
R031645OtherHIP
A1028Other1199 SEIU
10990100OtherMAGELLAN
P40147860OtherMULTI PLAN PPO
N49151OtherEMPIRE BCBS NY
7629097OtherAETNA US HEALTHCARE
108776OtherGUARDIAN HEALTHNET
P589980OtherOXFORD HEALTH INSURANCE C
R27966Medicare ID - Type Unspecified
10990100OtherMAGELLAN
N49151Medicare UPIN