Provider Demographics
NPI:1144663006
Name:VARGAS, RUBEN (LCSW)
Entity type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:
Last Name:VARGAS
Suffix:
Gender:M
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:SAN FERNANDO SUPERIOR COURT900 THIRD ST.
Mailing Address - Street 2:C/O PUBLIC DEFENDERS' OFFICE, 2ND FLOOR
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340
Mailing Address - Country:US
Mailing Address - Phone:818-898-2490
Mailing Address - Fax:818-898-2595
Practice Address - Street 1:900 THIRD ST. C/O PUBLIC DEFENDERS OFFICE 2ND FLOOR
Practice Address - Street 2:SAN FERNANDO SUPERIOR COURT
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-2935
Practice Address - Country:US
Practice Address - Phone:818-898-2490
Practice Address - Fax:818-898-2595
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 205871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical