Provider Demographics
NPI:1841725215
Name:DUBIN, ANAT (LGSW)
Entity type:Individual
Prefix:
First Name:ANAT
Middle Name:
Last Name:DUBIN
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 RUXTON RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-3511
Mailing Address - Country:US
Mailing Address - Phone:443-676-1518
Mailing Address - Fax:
Practice Address - Street 1:1926 RUXTON RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-3511
Practice Address - Country:US
Practice Address - Phone:443-676-1518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD225341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical