1508529207 NPI number — CECILIA PERKINS RUBIN LCSWA, LCASA, MSW

Table of content: CECILIA PERKINS RUBIN LCSWA, LCASA, MSW (NPI 1508529207)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508529207 NPI number — CECILIA PERKINS RUBIN LCSWA, LCASA, MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUBIN
Provider First Name:
CECILIA
Provider Middle Name:
PERKINS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSWA, LCASA, MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RUBIN
Provider Other First Name:
CEA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSWA, LCASA, MSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1508529207
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
275 BALL GAP RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARDEN
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28704-8749
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
383 MERRIMON AVE STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28801-1223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-775-5535
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  P016461 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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