Provider Demographics
NPI:1700470549
Name:UBIERA, RISHANNABEL (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:RISHANNABEL
Middle Name:
Last Name:UBIERA
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 1:400 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-2208
Mailing Address - Country:US
Mailing Address - Phone:908-000-0000
Mailing Address - Fax:
Practice Address - Street 1:400 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-2208
Practice Address - Country:US
Practice Address - Phone:201-396-8989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC061578001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical