Provider Demographics
NPI:1457078917
Name:RUBIO, DONNA M (ASW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:RUBIO
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 CHAPALA ST APT 209
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3410
Mailing Address - Country:US
Mailing Address - Phone:805-335-7297
Mailing Address - Fax:
Practice Address - Street 1:260 MAPLE CT STE 265
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3572
Practice Address - Country:US
Practice Address - Phone:805-625-2244
Practice Address - Fax:844-528-1796
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2417571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical