Provider Demographics
NPI:1477751303
Name:LUBIN, HEATHER MORGAN (MSW LCSW)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:MORGAN
Last Name:LUBIN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 SOUTH PINE ISLAND ROAD
Mailing Address - Street 2:#1026
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-727-8282
Mailing Address - Fax:954-659-1380
Practice Address - Street 1:950 SOUTH PINE ISLAND ROAD
Practice Address - Street 2:#1026
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-727-8282
Practice Address - Fax:954-659-1380
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW41791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical