Provider Demographics
NPI:1033187935
Name:LUBLING, RACHEL RUHAMA (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:RUHAMA
Last Name:LUBLING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 E 24TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3612
Mailing Address - Country:US
Mailing Address - Phone:718-377-7843
Mailing Address - Fax:
Practice Address - Street 1:916 E 24TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3612
Practice Address - Country:US
Practice Address - Phone:718-377-7843
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR058950104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNC4561Medicare ID - Type Unspecified