Provider Demographics
NPI:1962599951
Name:DUBIN, BARRY JAY (MSW)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:JAY
Last Name:DUBIN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 E. ACOMA DR.
Mailing Address - Street 2:STE. 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254
Mailing Address - Country:US
Mailing Address - Phone:480-689-4180
Mailing Address - Fax:480-991-9834
Practice Address - Street 1:7010 E ACOMA DR
Practice Address - Street 2:STE. 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3553
Practice Address - Country:US
Practice Address - Phone:480-689-4180
Practice Address - Fax:480-991-9834
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-09881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical