Provider Demographics
NPI:1386173797
Name:RUBINO, MARIANNE NADINE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:NADINE
Last Name:RUBINO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 DUNNELL RD STE 201-8
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2678
Mailing Address - Country:US
Mailing Address - Phone:973-525-6910
Mailing Address - Fax:973-763-9866
Practice Address - Street 1:111 DUNNELL ROAD
Practice Address - Street 2:SUITE 201-8
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040
Practice Address - Country:US
Practice Address - Phone:973-525-6910
Practice Address - Fax:973-763-9866
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045108001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical