Provider Demographics
NPI:1437279171
Name:RUBENFIRE, KAREN (LMSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:RUBENFIRE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:RUBENFIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31215 WESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-1473
Mailing Address - Country:US
Mailing Address - Phone:248-892-4585
Mailing Address - Fax:248-661-1239
Practice Address - Street 1:31215 WESTWOOD RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1473
Practice Address - Country:US
Practice Address - Phone:248-892-4585
Practice Address - Fax:248-661-1239
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010618621041C0700X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical